Provider Demographics
NPI:1073955175
Name:FLOWERS, DAPHNE JACKSON
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:JACKSON
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7112 HICKORY NUT DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3510
Mailing Address - Country:US
Mailing Address - Phone:919-805-4707
Mailing Address - Fax:
Practice Address - Street 1:7112 HICKORY NUT DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-3510
Practice Address - Country:US
Practice Address - Phone:919-805-4707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula