IndividualActive
Jacqueline Severson, RN, BSN, IBCLC
NPI 1689442402 · Lactation Consultant (Registered Nurse) · Phoenix, AZ
Provider details
- NPI number
- 1689442402
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, BSN, IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- L-87868 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
14040 N Cave Creek Rd
Phoenix, AZ 85022-6117
Phone: (602) 299-7475
Fax: (623) 806-8655
Approximate (ZIP-level) locationGet directions
Mailing address
3002 N 70th St Unit 209
Scottsdale, AZ 85251-6339
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.