Maya Jackson
Doula in Durham, NC. Individual provider (NPI-1).
NPI number1295425114
StatusActive
Last updated in NPPESMar 26, 2024
Details
- NPI
- 1295425114
- Entity type
- Individual (NPI-1)
- Name
- Maya Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2023
- Certification date
- Mar 26, 2024
- Last updated
- Mar 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | NC | Yes |
| 172V00000X | Community Health Worker | – | NC |
Practice location
1321 Hill StDurham, NC 27707-1600
Phone 919-475-0831
Mailing address
1321 Hill StDurham, NC 27707-1600
Phone 919-475-0831
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