Jennifer Balk, CD
Individual provider Active NPI Doula · Nanuet, NY
NPI 1598034654 · NPPES record last updated Dec 19, 2011
Key facts
- NPI
- 1598034654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- 4550 (NY)
- Practice address
- 31 Jerrys Ave
Nanuet, NY 10954-3248 - Phone
- (845) 623-6022
- NPI assigned
- Dec 19, 2011
- 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 |
|---|---|---|---|
| 4550 | NY | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 4550 | NY | Yes |
Addresses
Primary practice location
31 Jerrys Ave
Nanuet, NY 10954-3248
Mailing address
31 Jerrys Ave
Nanuet, NY 10954-3248
Phone (845) 623-6022
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2011. 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.