Jessica Blair Simandjuntak, RN, IBCLC - Registered Nurse in Redlands, CA

Jessica Blair Simandjuntak, RN, IBCLC is a Registered Nurse - Lactation Consultant based in Redlands, California. Jessica Blair Simandjuntak is licensed to practice in California (license number L-308269) and her current practice location is 151 Orange Park, Redlands, California. She can be reached at her office (for appointments etc.) via phone at (909) 810-8188.

NPI number for Jessica Blair Simandjuntak is 1508717216 and her current mailing address is 151 Orange Park, Redlands, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508717216.

Contact Information

Jessica Blair Simandjuntak, RN, IBCLC
151 Orange Park,
Redlands, CA 92374-5543
(909) 810-8188
Not Available

Map and Direction




Provider's Profile

Full NameJessica Blair Simandjuntak
GenderFemale
SpecialityRegistered Nurse - Lactation Consultant
Location151 Orange Park, Redlands, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508717216
  • Provider Enumeration Date: 02/07/2026
  • Last Update Date: 02/07/2026

Medical Identifiers

Medical identifiers for Jessica Blair Simandjuntak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508717216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WL0100XRegistered Nurse - Lactation Consultant 95176001 (California)Secondary
163WL0100XRegistered Nurse - Lactation Consultant L-308269 (California)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. Jessica Blair Simandjuntak 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 AddressPractice Location Address
Jessica Blair Simandjuntak, RN, IBCLC
151 Orange Park,
Redlands, CA 92374-5543

Ph: () -
Jessica Blair Simandjuntak, RN, IBCLC
151 Orange Park,
Redlands, CA 92374-5543

Ph: (909) 810-8188

Reviews and Comments


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