IndividualActive
Jeanne Tidd, RN
NPI 1396509113 · Lactation Consultant (Registered Nurse) · Sterling, VA
Provider details
- NPI number
- 1396509113
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-307720 (VA)
Specialties & taxonomies
Nursing Service Providers
Practice location
46768 Manchester Ter
Sterling, VA 20165-7585
Phone: (540) 818-4501
Approximate (ZIP-level) locationGet directions
Mailing address
46768 Manchester Ter
Sterling, VA 20165-7585
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.