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

Mrs. Jacqueline Davis, RDN, LDN, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1275333148

Mrs. Jacqueline Davis, RDN, LDN, IBCLC is a Registered Dietitian OR Nutrition Professional in Reidsville, North Carolina. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2025
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

371 Nc Highway 65
Reidsville, NC 27320-8881
Phone: (336) 342-8201
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 96253419 (NC)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-122675 (NC)

Record details

NPI number1275333148
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LDN , IBCLC
Sole proprietorYes
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

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