Individual
MIKAYLA CELESTE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
9511 HOLSBERRY RD STE B8, PENSACOLA, FL 32534-1320
(850) 324-5393
Mailing address
9511 HOLSBERRY RD STE B8, PENSACOLA, FL 32534-1320
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-101117
WA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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