IndividualActive
Brittany Waggoner, CLC
NPI 1104591734 · Lactation Consultant (Non-RN) · Mcewen, TN
Provider details
- NPI number
- 1104591734
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- CLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 332098 (MA)
Specialties & taxonomies
Other Service Providers
Practice location
3770 E. Blue Creek Rd
Mcewen, TN 37101
Phone: (931) 209-7610
Fax: (931) 444-5850
Approximate (ZIP-level) locationGet directions
Mailing address
3770 E. Blue Creek Rd
Mcewen, TN 37101
Registry dates
- Enumerated
- 2021-08-16
- Last updated
- 2021-08-16
- Certified
- 2021-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.