Provider Demographics
NPI:1417284886
Name:STARKEY, JACQUELINE DENISE (RN, BS, IBCLC, DONA)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:DENISE
Last Name:STARKEY
Suffix:
Gender:F
Credentials:RN, BS, IBCLC, DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5741 CLEVELAND ST STE 240
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1778
Mailing Address - Country:US
Mailing Address - Phone:757-615-2933
Mailing Address - Fax:
Practice Address - Street 1:5741 CLEVELAND ST STE 240
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1778
Practice Address - Country:US
Practice Address - Phone:757-615-2933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VALC-41998163WL0100X
VA1417284886163WM0102X
DC11215 LAMAZE174H00000X
IL0479374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula