IndividualActive
Jacqueline Rouse-Johnson, RN, IBCLC, RLC
NPI 1346634979 · Lactation Consultant (Non-RN) · Waldorf, MD
Provider details
- NPI number
- 1346634979
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- RN, IBCLC, RLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L31823
Specialties & taxonomies
Other Service Providers
Practice location
2389 Hazelwood Ct
Waldorf, MD 20601-4539
Phone: (202) 415-2558
Approximate (ZIP-level) locationGet directions
Mailing address
2389 Hazelwood Ct
Waldorf, MD 20601-4539
Registry dates
- Enumerated
- 2015-03-20
- Last updated
- 2015-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.