1. Home
  2. Directory
  3. Virginia
  4. Winchester
  5. Lactation Consultant Non Rn
  6. NPI Profile

MRS. JESSICA BRUNOT BOULDIN CLC, CD
NPI 1174223358
Lactation Consultant, Non-RN in Winchester, VA

Active since March 07, 2023
102 APACHE TRAIL, WINCHESTER, VA 22602(540) 222-8700 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jessica Brunot Bouldin Clc, Cd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA BRUNOT BOULDIN CLC, CD (NPI 1174223358) is an individual lactation consultant, non-rn provider in Winchester, Virginia, licensed in Virginia (351584) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1174223358
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameMRS. JESSICA BRUNOT BOULDINCredential: CLC, CD
Location Address102 APACHE TRAILWinchester, VA 22602-1300
Mailing Address102 Apache TrailWinchester, VA 22602-1300 · (540) 222-8700
Phone(540) 222-8700
Sole ProprietorYes
Enumeration DateMarch 7, 2023
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1174223358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in VA · 351584
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Also ListedDoulaTaxonomy 374J00000X
102 APACHE TRAIL, Winchester, VA 22602
Open in Google Maps ↗

Other Identifiers 1

Medicaid81180VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bouldin's NPI number?

The NPI number for Jessica Bouldin is 1174223358. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Jessica Bouldin located?

Jessica Bouldin practices at 102 Apache Trail, Winchester, VA 22602. The listed phone number is (540) 222-8700.

What is Jessica Bouldin's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Jessica Bouldin was last updated on December 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.