Provider Demographics
NPI:1477241594
Name:LEWIS, JAMMIN (DOULA)
Entity Type:Individual
Prefix:
First Name:JAMMIN
Middle Name:
Last Name:LEWIS
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 1:216 S CLARKSON ST UNIT H
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-1065
Mailing Address - Country:US
Mailing Address - Phone:171-880-9386
Mailing Address - Fax:
Practice Address - Street 1:1949 ADAM CLAYTON POWELL JR BLVD APT E3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2200
Practice Address - Country:US
Practice Address - Phone:718-809-3865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker