JACQUELINE TYSON RN IBCLC NPI 1831053099

NPI Information

  • NPI: 1831053099
  • Provider Name: JACQUELINE TYSON, RN, IBCLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 613 NEMESIA DR
    WENDELL, NC
    ZIP 27591
  • Phone: (919) 280-0451

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NPI Details

Jacqueline Tyson, RN, IBCLC is a lactation consultant registered nurse in Wendell, NC. Jacqueline Tyson, RN, IBCLC NPI is 1831053099. 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:

613 NEMESIA DR
WENDELL, NC
ZIP 27591-229
Phone: (919) 280-0451

The enumeration date for this NPI number is 12/12/2025 and was last updated on 12/12/2025.

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-317528NORTH CAROLINAYes

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

NPI Synchronization or Removal

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