Provider Demographics
NPI:1942901350
Name:SHULER, JOCELYN (IBCLC)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:SHULER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2430
Mailing Address - Country:US
Mailing Address - Phone:703-509-1901
Mailing Address - Fax:
Practice Address - Street 1:14812 PHYSICIANS LN STE 161
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3911
Practice Address - Country:US
Practice Address - Phone:301-529-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-308576174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN