Individual
JILLIAN MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
4701 PLEASANT AVE, NORFOLK, VA 23518-1912
(919) 260-3741
Mailing address
4701 PLEASANT AVE, NORFOLK, VA 23518-1912
(919) 260-3741
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-86791
VA
Other
Enumeration date
11/14/2015
Last updated
11/14/2015
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