IndividualActive
Courtney Stallworth, BSN RN IBCLC
NPI 1417728684 · Lactation Consultant (Registered Nurse) · Lawrenceville, GA
Provider details
- NPI number
- 1417728684
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- BSN RN IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 201879 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
113 S. Perry Street
Suite 206 #9313
Lawrenceville, GA 30046
Phone: (678) 712-8583
Approximate (ZIP-level) locationGet directions
Mailing address
113 S. Perry Street
Lawrenceville, GA 30046
Registry dates
- Enumerated
- 2024-01-15
- Last updated
- 2024-01-15
- Certified
- 2024-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.