IndividualActive
Jacqueline Burgett, RN/IBCLC
NPI 1972013548 · Lactation Consultant (Registered Nurse) · Riverton, UT
Provider details
- NPI number
- 1972013548
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN/IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 501107-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
4463 W Mandy Lee Cv
Riverton, UT 84096-7775
Phone: (385) 313-8301
Approximate (ZIP-level) locationGet directions
Mailing address
4463 W Mandy Lee Cv
Riverton, UT 84096-7775
Registry dates
- Enumerated
- 2017-10-09
- Last updated
- 2017-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.