Provider Demographics
NPI:1558832147
Name:JASLAR, CHRISTINE MARIE (BSN, RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MARIE
Last Name:JASLAR
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 PUTNAM RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4206
Mailing Address - Country:US
Mailing Address - Phone:215-369-1499
Mailing Address - Fax:
Practice Address - Street 1:920 PUTNAM RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-4206
Practice Address - Country:US
Practice Address - Phone:215-369-1499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-08
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN328776L163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
L-18994OtherINTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT
PARN328776LOtherREGISTERED NURSE