Jacqueline Tyson, RN, IBCLC is a
Registered Nurse - Lactation Consultant based in Wendell, North Carolina. Jacqueline Tyson is licensed to practice in North Carolina (license number L-317528) and her current practice location is
613 Nemesia Dr, Wendell, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 280-0451.
NPI number for Jacqueline Tyson is 1831053099 and her current mailing address is 613 Nemesia Dr, Wendell, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831053099.
Provider's Profile
| Full Name | Jacqueline Tyson |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Lactation Consultant |
|---|
| Location | 613 Nemesia Dr, Wendell, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831053099
- Provider Enumeration Date: 12/12/2025
- Last Update Date: 12/12/2025
Medical Identifiers
Medical identifiers for Jacqueline Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831053099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WL0100X | Registered Nurse - Lactation Consultant | L-317528 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Tyson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacqueline Tyson, RN, IBCLC 613 Nemesia Dr, Wendell, NC 27591-3229 Ph: () - | Jacqueline Tyson, RN, IBCLC 613 Nemesia Dr, Wendell, NC 27591-3229 Ph: (919) 280-0451 |
Reviews and Comments