Individual
JODI NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(425) 233-1471
Mailing address
522 W RIVERSIDE AVE # 8120, SPOKANE, WA 99201-0580
(425) 233-1471
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN60762981
WA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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