Organization
NOURISHED ROOTS LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER ALLEN GINN IBCLC (OWNER)
(336) 287-2042
Entity
Organization
Contact information
Practice address
211 W WACKER DR STE 120, CHICAGO, IL 60606-1377
(336) 287-2042
Mailing address
1702 LONE HICKORY RD, YADKINVILLE, NC 27055-6242
(336) 287-2042
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
12/03/2025
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