Individual
JESSICA TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
5405 WILLCOXON TAVERN CT, FAIRFAX, VA 22032-2939
(609) 238-2726
Mailing address
5405 WILLCOXON TAVERN CT, FAIRFAX, VA 22032-2939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001259260
VA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-311556
CA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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