Healthcare Provider Details

I. General information

NPI: 1659297323
Provider Name (Legal Business Name): THE NOURISHING NEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 SE 24TH RD
OCALA FL
34471-6010
US

IV. Provider business mailing address

3290 SE 33RD CT
OCALA FL
34471-7027
US

V. Phone/Fax

Practice location:
  • Phone: 352-839-8026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: KELSEY URIA
Title or Position: RN, IBCLC
Credential: RN, IBCLC
Phone: 239-537-1308