Healthcare Provider Details

I. General information

NPI: 1427945781
Provider Name (Legal Business Name): LEADING LACTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23108 SEVEN MEADOWS PKWY STE 250
KATY TX
77494-0864
US

IV. Provider business mailing address

68 MARSEILLE
MONTGOMERY TX
77356-8613
US

V. Phone/Fax

Practice location:
  • Phone: 281-832-4628
  • 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: JENNIFER FITZSIMMONS
Title or Position: OWNER/PROVIDER
Credential: BSN, RN, IBCLC, PMHC
Phone: 281-832-4628