Individual
DANIELLE ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 71ST ST, BROOKLYN, NY 11209-1301
(646) 328-1933
Mailing address
249 71ST ST, BROOKLYN, NY 11209-1301
(646) 328-1933
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
515345
NY
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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