Individual
JENNIFER SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, RLC
Contact information
Practice address
4212 LANCASTER GATE DR, PACE, FL 32571-7397
(504) 220-0364
Mailing address
4212 LANCASTER GATE DR, PACE, FL 32571-7397
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-27845
ZZ
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN9356860
FL
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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