IndividualActive
Aurellia Bourne, RN, CLC
NPI 1770313876 · Lactation Consultant (Registered Nurse) · Gulfport, MS
Provider details
- NPI number
- 1770313876
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, CLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 355660 (MA)
Specialties & taxonomies
Nursing Service Providers
Practice location
10476 Roundhill Dr
Gulfport, MS 39503-5585
Phone: (228) 574-5482
Approximate (ZIP-level) locationGet directions
Mailing address
10476 Roundhill Dr
Gulfport, MS 39503-5585
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.