Provider Demographics
NPI:1639965916
Name:EARLEY, JANAE (RNC IBCLC)
Entity type:Individual
Prefix:
First Name:JANAE
Middle Name:
Last Name:EARLEY
Suffix:
Gender:
Credentials:RNC IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 NORTHERN PINE LOOP
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-6034
Mailing Address - Country:US
Mailing Address - Phone:949-274-6268
Mailing Address - Fax:
Practice Address - Street 1:17 NORTHERN PINE LOOP
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-6034
Practice Address - Country:US
Practice Address - Phone:949-274-6268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-316354163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant