IndividualActive
Jaclyn Haak, IBCLC
NPI 1174067359 · Lactation Consultant (Registered Nurse) · Fargo, ND
Provider details
- NPI number
- 1174067359
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- R31313 (ND)
Specialties & taxonomies
Nursing Service Providers
Practice location
801 Broadway N
Routing #0110
Fargo, ND 58102-3641
Phone: (701) 234-6294
Approximate (ZIP-level) locationGet directions
Mailing address
801 Broadway N
Fargo, ND 58102-3641
Registry dates
- Enumerated
- 2016-12-07
- Last updated
- 2016-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.