Individual provider · NPI-1
Nandi Jacobs
Doula · Mableton, GA
NPI number1285493379
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1285493379
- Entity type
- Individual (NPI-1)
- Name
- Nandi Jacobs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2024
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
Practice location
1169 Vonda Ln SwMableton, GA 30126-3045
Phone 770-372-4846
Mailing address
1169 Vonda Ln SwMableton, GA 30126-3045
Is something wrong?
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