Provider Demographics
NPI:1881404812
Name:LINDSEY, JAYME (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:JAYME
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 LAZY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3951
Mailing Address - Country:US
Mailing Address - Phone:860-500-3719
Mailing Address - Fax:
Practice Address - Street 1:27 LAZY VALLEY RD
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-3951
Practice Address - Country:US
Practice Address - Phone:860-500-3719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT173058163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant