Provider Demographics
NPI:1497035513
Name:SUESS, JENNIFER LYNN (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:SUESS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6719 DUQUETTE RD
Mailing Address - Street 2:
Mailing Address - City:MELVIN
Mailing Address - State:MI
Mailing Address - Zip Code:48454-9761
Mailing Address - Country:US
Mailing Address - Phone:810-705-0316
Mailing Address - Fax:
Practice Address - Street 1:6719 DUQUETTE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:MELVIN
Practice Address - State:MI
Practice Address - Zip Code:48454-9761
Practice Address - Country:US
Practice Address - Phone:810-705-0316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula