Individual
JESSICA CULLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, IBCLC
Contact information
Practice address
601 TIMBER DR, WAYNE, PA 19087-2359
(484) 883-6516
Mailing address
601 TIMBER DR, WAYNE, PA 19087-2359
(484) 883-6516
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-305884
PA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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