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

Mrs. Jaclyn Waggoner

Individual provider Lactation Consultant (Non-RN) · NPI 1831960996

Mrs. Jaclyn Waggoner is a Lactation Consultant (Non-RN) in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

1040 W Antelope Creek Way
Tucson, AZ 85737-6645
Phone: (520) 389-2718
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 329706 (AZ)

Record details

NPI number1831960996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address1040 W Antelope Creek Way, Tucson, AZ 85737-6645

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