Individual
MORGAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
504 BELLEFONTAINE AVE APT 1, KANSAS CITY, MO 64124-1960
(816) 365-2140
Mailing address
504 BELLEFONTAINE AVE APT 1, KANSAS CITY, MO 64124-1960
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
14-146678-041
KS
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
2015004291
MO
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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