Provider Demographics
NPI:1518387430
Name:PETERS, JENNIFER GIURLANI (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:GIURLANI
Last Name:PETERS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:CATHERINE
Other - Last Name:GIULIANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, IBCLC
Mailing Address - Street 1:7401 CIRCULO SEQUOIA
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-8467
Mailing Address - Country:US
Mailing Address - Phone:650-353-1982
Mailing Address - Fax:
Practice Address - Street 1:10484 LIVEWOOD WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-2201
Practice Address - Country:US
Practice Address - Phone:650-353-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-17
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA753304163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant