Gervonne Jefferson
Doula in Tempe, AZ. Individual provider (NPI-1).
NPI number1669276101
StatusActive
Last updated in NPPESApr 3, 2025
Details
- NPI
- 1669276101
- Entity type
- Individual (NPI-1)
- Name
- Gervonne Jefferson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2025
- Certification date
- Apr 3, 2025
- Last updated
- Apr 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
Practice location
8205 S Priest Dr Unit 12021Tempe, AZ 85284-0154
Phone 313-848-7384
Mailing address
8205 S Priest Dr Unit 12021Tempe, AZ 85284-0154
Phone 313-848-7384
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