Provider Demographics
NPI:1093698383
Name:BRACEWELL, JAMIE ANN (BSN, RNC-OB, IBCLC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ANN
Last Name:BRACEWELL
Suffix:
Gender:F
Credentials:BSN, RNC-OB, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3056 RAE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-2109
Mailing Address - Country:US
Mailing Address - Phone:707-321-9828
Mailing Address - Fax:
Practice Address - Street 1:3056 RAE CREEK DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-2109
Practice Address - Country:US
Practice Address - Phone:707-321-9828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL311730163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant