IndividualActive
Jaclyn Waggoner
NPI 1831960996 · Lactation Consultant (Non-RN) · Tucson, AZ
Provider details
- NPI number
- 1831960996
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 329706 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
1040 W Antelope Creek Way
Tucson, AZ 85737-6645
Phone: (520) 389-2718
Approximate (ZIP-level) locationGet directions
Mailing address
1040 W Antelope Creek Way
Tucson, AZ 85737-6645
Registry dates
- Enumerated
- 2024-01-09
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.