Healthcare Provider Details

I. General information

NPI: 1275167660
Provider Name (Legal Business Name): JOCELYN STRONG MSN, RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOCELYN BLAISDELL MSN, RN

II. Dates (important events)

Enumeration Date: 02/25/2020
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 GENERAL WAYNE DR
WEST CHESTER PA
19382-8020
US

IV. Provider business mailing address

908 GENERAL WAYNE DR
WEST CHESTER PA
19382-8020
US

V. Phone/Fax

Practice location:
  • Phone: 732-610-9196
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN575171
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: