IndividualActive
Gayle Owen, RN IBCLC LC
NPI 1114533387 · Lactation Consultant (Registered Nurse) · Brooks, GA
Provider details
- NPI number
- 1114533387
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN IBCLC LC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 077331 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
596 Bankstown Rd
Brooks, GA 30205-2219
Phone: (770) 856-0890
Approximate (ZIP-level) locationGet directions
Mailing address
596 Bankstown Rd
Brooks, GA 30205-2219
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.