Individual provider · NPI-1

Ebony Campbell

Doula · Newark, NJ

NPI number1306485578
StatusActive
Last updated in NPPESMay 10, 2024

Details

NPI
1306485578
Entity type
Individual (NPI-1)
Name
Ebony Campbell
Sex
Female
Sole proprietor
No
Enumeration date
Jan 5, 2020
Certification date
May 10, 2024
Last updated
May 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374J00000X Doula–NJYes
374J00000X Doula––
374U00000X Home Health Aide––

Other names

  • Ebony Jones (Former Name)

Practice location

671 S 14th St
Newark, NJ 07103-1410

Phone 973-901-7066

Mailing address

671 S 14th St
Newark, NJ 07103-1410

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