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

Jennifer Black, IBCLC

Individual provider Health & Wellness Coach · NPI 1053980631

Jennifer Black, IBCLC is a Health & Wellness Coach in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4

Practice location Address checks out

829 W Mlk Blvd Ste 256
Tampa, FL 33603-3309
Phone: (803) 807-3454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-72574
Health & Wellness Coach Taxonomy 171400000X
Community Health Worker Taxonomy 172V00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1053980631
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorYes
NPI enumeratedJune 18, 2021
Last updated in NPPESFebruary 6, 2024
Certification dateMay 19, 2023
Mailing address829 W Mlk Blvd Ste 256, Tampa, FL 33603-3309

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