MEDICARE: JOLLINA SIMPSON IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174N00000X	Lactation Consultant (Non-RN)
2	175M00000X	Lay Midwife
3	374J00000X	Doula
4	174H00000X	Health Educator

General Provider Information

NPI Number	:	1437508199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOLLINA SIMPSON IBCLC

Provider Business Mailing Address
First Line	:	1590 SOMBRERO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-2523
Country	:	US
Telephone Number	:	702-524-9705
Fax Number	:

Provider Business Practice Location Address
First Line	:	1590 SOMBRERO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-2523
Country	:	US
Telephone Number	:	702-524-9705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	08/27/2025

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Directions to “ JOLLINA SIMPSON IBCLC” Practice Location

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