Provider Demographics
NPI:1215827324
Name:CLOUGH, KRISTEN (BSN,RN,IBCLC,RNC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:CLOUGH
Suffix:
Gender:F
Credentials:BSN,RN,IBCLC,RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 TAYLOR ST STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-3973
Mailing Address - Country:US
Mailing Address - Phone:713-893-5994
Mailing Address - Fax:
Practice Address - Street 1:1919 TAYLOR ST STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-3973
Practice Address - Country:US
Practice Address - Phone:713-893-5994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1080776163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant