IndividualActive
Jessica Tang, FNP-BC, IBCLC
NPI 1104553395 · Lactation Consultant (Registered Nurse) · Newton, MA
Provider details
- NPI number
- 1104553395
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- FNP-BC, IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- L-314297 (OR)
Practice location
112 Warren St
Newton, MA 02459-2065
Phone: (800) 998-7042
Fax: (818) 724-7704
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2022-08-07
- Last updated
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.