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NPI Code Detail

MEDICARE: MRS. REBECCA LYNN JONES RN, IBCLC

MEDICARE: MRS. REBECCA LYNN JONES RN, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)61185232WA

General Provider Information

NPI Number : 1053076943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA LYNN JONES RN, IBCLC
Provider Business Mailing Address
First Line : 601 N KEYS RD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-1172
Country : US
Telephone Number : 503-931-4815
Fax Number :
Provider Business Practice Location Address
First Line : 601 N KEYS RD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-1172
Country : US
Telephone Number : 503-931-4815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2021
Last Update Date : 12/15/2023

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