Provider Demographics
NPI:1134005077
Name:LACTATION SPECIALTY SERVICES, LLC
Entity type:Organization
Organization Name:LACTATION SPECIALTY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEONATAL NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:NNP-BC, IBCLC
Authorized Official - Phone:601-941-8249
Mailing Address - Street 1:104 LAWRENCE DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-4618
Mailing Address - Country:US
Mailing Address - Phone:601-941-8249
Mailing Address - Fax:601-939-6555
Practice Address - Street 1:2001 AIRPORT RD N STE 204
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8846
Practice Address - Country:US
Practice Address - Phone:601-941-8249
Practice Address - Fax:601-939-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatalGroup - Single Specialty