Provider Demographics
NPI:1326720640
Name:ST JUSTE, JENEE (DOULA)
Entity Type:Individual
Prefix:
First Name:JENEE
Middle Name:
Last Name:ST JUSTE
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 1:7530 BROMPTON ST APT 755
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2235
Mailing Address - Country:US
Mailing Address - Phone:904-887-9924
Mailing Address - Fax:
Practice Address - Street 1:70 BOTTLING WORKS RD
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566-5101
Practice Address - Country:US
Practice Address - Phone:904-887-9924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula