JACQUELINE SEVERSON RN BSN IBCLC NPI 1689442402

NPI Information

  • NPI: 1689442402
  • Provider Name: JACQUELINE SEVERSON, RN, BSN, IBCLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 14040 N CAVE CREEK RD
    PHOENIX, AZ
    ZIP 85022
  • Phone: (602) 299-7475

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NPI Details

Jacqueline Severson, RN, BSN, IBCLC is a lactation consultant registered nurse in Phoenix, AZ. Jacqueline Severson, RN, BSN, IBCLC NPI is 1689442402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14040 N CAVE CREEK RD
PHOENIX, AZ
ZIP 85022-117
Phone: (602) 299-7475
Fax: (623) 806-8655

The enumeration date for this NPI number is 12/12/2023 and was last updated on 12/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WL0100XRegistered NurseLactation ConsultantL-87868ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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