IndividualActive
Maryann Eisemann, REGISTERED NURSE
NPI 1386829646 · Lactation Consultant (Registered Nurse) · Jacksonville, FL
Provider details
- NPI number
- 1386829646
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- RN9368677 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4605 Princess Anne Ln
Jacksonville, FL 32210-7526
Phone: (570) 263-0555
Fax: (904) 638-4765
Street-level locationGet directions
Mailing address
4605 Princess Anne Ln
Jacksonville, FL 32210-7526
Additional practice locations (1)
- 1100 Grampian BlvdWilliamsport, PA 17701-1909Phone: (570) 320-7690Fax: (570) 320-7898
Registry dates
- Enumerated
- 2008-01-07
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.