Jaylee Nicole Andrus
Individual provider Active NPI Doula · Springfield, MO
NPI 1902673288 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1902673288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 1136 W Battlefield St
Springfield, MO 65807-4146 - Phone
- (417) 619-6059
- NPI assigned
- Dec 7, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
1136 W Battlefield St
Springfield, MO 65807-4146
Mailing address
1662 S Orchard Crest Ave
Springfield, MO 65807-1066
Phone (417) 619-6059
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2023. 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.