Provider Demographics
NPI:1043943467
Name:EDWARDS, JAMIE MADELINE (DOULA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:MADELINE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6245 DONNELLY LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-3720
Mailing Address - Country:US
Mailing Address - Phone:916-281-4625
Mailing Address - Fax:
Practice Address - Street 1:6245 DONNELLY LN
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-3720
Practice Address - Country:US
Practice Address - Phone:916-281-4625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-04
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula