Provider Demographics
NPI:1417465188
Name:SNIPES, Y'NA R (DOULA)
Entity Type:Individual
Prefix:
First Name:Y'NA
Middle Name:R
Last Name:SNIPES
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:Y'NA
Other - Middle Name:R
Other - Last Name:SNIPES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:Y'NA SNIPES- EVANS
Mailing Address - Street 1:5644 BRADLEY CIR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-1171
Mailing Address - Country:US
Mailing Address - Phone:678-698-0735
Mailing Address - Fax:
Practice Address - Street 1:5644 BRADLEY CIR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-1171
Practice Address - Country:US
Practice Address - Phone:678-698-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula