Jenette Kirstine Edwards
Individual provider Active NPI Doula · Lyerly, GA
NPI 1225923949 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1225923949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- JED-104159 (GA)
- Practice address
- 375 Cemetery Rd
Lyerly, GA 30730-3005 - Phone
- (706) 978-1889
- NPI assigned
- Jun 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JED-104159 | GA | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula |
374J00000X | JED-104159 | GA | Yes |
Addresses
Primary practice location
375 Cemetery Rd
Lyerly, GA 30730-3005
Mailing address
375 Cemetery Rd
Lyerly, GA 30730-3005
Phone (706) 978-1889
Other providers in Lyerly, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.