Healthcare Provider Details

I. General information

NPI: 1942901350
Provider Name (Legal Business Name): JOCELYN SHULER RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8805 COLD SPRING RD
POTOMAC MD
20854-2430
US

IV. Provider business mailing address

8805 COLD SPRING RD
POTOMAC MD
20854-2430
US

V. Phone/Fax

Practice location:
  • Phone: 301-200-2140
  • Fax:
Mailing address:
  • Phone: 703-509-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberR214798
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: