Provider Demographics
NPI:1881479046
Name:JACOT, CLAIRE NATALI (CLC)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:NATALI
Last Name:JACOT
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:NATALI
Other - Last Name:INGRAFFIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3007 WOODLAND HILLS DR # 205
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1403
Mailing Address - Country:US
Mailing Address - Phone:281-305-0411
Mailing Address - Fax:281-572-0627
Practice Address - Street 1:26077 NELSON WAY STE 601
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6679
Practice Address - Country:US
Practice Address - Phone:281-305-0411
Practice Address - Fax:281-572-0627
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXCLC174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN