Jennifer Bennett Davis, ICCE-CD
Individual provider Active NPI Doula · Swansboro, NC
NPI 1578890133 · NPPES record last updated Nov 3, 2009
Key facts
- NPI
- 1578890133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 403 S Glancy St
Swansboro, NC 28584-9656 - Phone
- (910) 787-3693
- Fax
- (910) 326-2828
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes | ||
| Health Educator | 174H00000X |
Addresses
Primary practice location
403 S Glancy St
Swansboro, NC 28584-9656
Mailing address
PO Box 338
Swansboro, NC 28584-0338
Phone (910) 787-3693
Other providers in Swansboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2009. 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.