Individual
MRS. JENNIFER ANNE FELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2475 N 124TH ST, BROOKFIELD, WI 53005-4630
(414) 455-0463
Mailing address
29305 RIVER VIEW PKWY, BURLINGTON, WI 53105-7604
(262) 995-4048
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-98381
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-98381
IBCLC
WI
Enumeration date
09/22/2021
Last updated
09/22/2021
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