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

Jessica Blair Simandjuntak, RN, IBCLC

Individual provider Lactation Consultant (Registered Nurse) · NPI 1508717216

Jessica Blair Simandjuntak, RN, IBCLC is registered under Lactation Consultant (Registered Nurse) in Redlands, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1331 Barton Rd
Redlands, CA 92373-1487
Phone: (909) 572-8280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence L-308269 (CA)
Lactation Consultant (Registered Nurse) Taxonomy 163WL0100X · Licence 95176001 (CA)
Doula Taxonomy 374J00000X (CA)

Record details

NPI number1508717216
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , IBCLC
Sole proprietorNo
NPI enumeratedFebruary 7, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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