Ostassia Jackson
Ostassia Jackson is a Lactation Consultant (Non-RN) in Mequon, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 6
Practice location Address checks out
11431 N Port Washington Rd Ste 206Mequon, WI 53092-3462
Phone: (414) 319-9195
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|---|
| Lactation Consultant (Non-RN) | Taxonomy 174N00000X |
| Lodging Provider | Taxonomy 177F00000X |
| Homemaker | Taxonomy 376J00000X |
| Nurse's Aide | Taxonomy 376K00000X |
| Respite Care | Taxonomy 385H00000X |
Record details
| NPI number | 1083342315 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2022 |
| Last updated in NPPES | August 14, 2022 |
| Certification date | August 14, 2022 |
| Mailing address | 11431 N Port Washington Rd Ste 206, Mequon, WI 53092-3462 |