Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Tyson, RN, IBCLC

Individual provider Lactation Consultant (Registered Nurse) · NPI 1831053099

Jacqueline Tyson, RN, IBCLC is a Lactation Consultant (Registered Nurse) in Wendell, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

613 Nemesia Dr
Wendell, NC 27591-3229
Phone: (919) 280-0451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence L-317528 (NC)

Record details

NPI number1831053099
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , IBCLC
Sole proprietorYes
NPI enumeratedDecember 12, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address613 Nemesia Dr, Wendell, NC 27591-3229

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