Individual
JACQUELYN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC, IBCLC
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
110 AVERILL LN, IRMO, SC 29063-8777
(786) 274-2543
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-152686
SC
363LP0200X
Pediatric Nurse Practitioner
29506
SC
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
5021064
NC
363LP0222X
Critical Care Pediatric Nurse Practitioner
GAA-NP002412
GA
Other
Enumeration date
07/12/2024
Last updated
08/28/2025
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