Healthcare Provider Details
I. General information
NPI: 1407766322
Provider Name (Legal Business Name): JAIME JONES LACTATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3024 W 300 N STE C
WEST POINT UT
84015-7259
US
IV. Provider business mailing address
412 N 4950 W
WEST POINT UT
84015-6982
US
V. Phone/Fax
- Phone: 801-920-4103
- Fax:
- Phone: 801-920-4103
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WL0100X |
| Taxonomy | Lactation Consultant (Registered Nurse) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAIME
JONES
Title or Position: OWNER
Credential: RN, IBCLC
Phone: 801-920-4103