Jennifer Keshick
Individual provider Active NPI Doula · Wilson, MI
NPI 1700611126 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1700611126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- K220398564678 (MI)
- Practice address
- W146 Willow Rd
Wilson, MI 49896-9677 - Phone
- (906) 399-3946
- NPI assigned
- Sep 5, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K220398564678 | MI | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | K220398564678 | MI | Yes |
Addresses
Primary practice location
W146 Willow Rd
Wilson, MI 49896-9677
Mailing address
W146 Willow Rd
Wilson, MI 49896-9677
Phone (906) 399-3946
Other providers in Wilson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. 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.