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JACQUELYNN FALANA DOUGLAS-PETTIS
NPI 1336003524
Lactation Consultant, Non-RN in Chicago, IL

Active since December 11, 2025
8205 S WINCHESTER AVE, CHICAGO, IL 60620(708) 800-9620 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Dec 11, 2025 (2 updates tracked since 2025).

About Jacquelynn Falana Douglas-pettis NPPES

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

JACQUELYNN FALANA DOUGLAS-PETTIS (NPI 1336003524) is an individual lactation consultant, non-rn provider in Chicago, Illinois, licensed in Illinois (L-319753) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1336003524
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameJACQUELYNN FALANA DOUGLAS-PETTIS
Location Address8205 S WINCHESTER AVEChicago, IL 60620-5340
Mailing Address8205 S Winchester AveChicago, IL 60620-5340 · (708) 800-9620
Phone(708) 800-9620
Sole ProprietorYes
Enumeration DateDecember 11, 2025
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1336003524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in IL · L-319753
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.
8205 S WINCHESTER AVE, Chicago, IL 60620
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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 Jacquelynn Douglas-pettis's NPI number?

The NPI number for Jacquelynn Douglas-pettis is 1336003524. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Jacquelynn Douglas-pettis located?

Jacquelynn Douglas-pettis practices at 8205 S Winchester Ave, Chicago, IL 60620. The listed phone number is (708) 800-9620.

What is Jacquelynn Douglas-pettis'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 Jacquelynn Douglas-pettis was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.