Provider Demographics
NPI:1497369854
Name:VOSS, JOY JEDIDIAH (DOULA)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:JEDIDIAH
Last Name:VOSS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:VOSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOULA
Mailing Address - Street 1:2301 N ELLAMONT ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-2719
Mailing Address - Country:US
Mailing Address - Phone:410-831-8299
Mailing Address - Fax:
Practice Address - Street 1:2301 N ELLAMONT ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2719
Practice Address - Country:US
Practice Address - Phone:410-831-8299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDV-200-447-388-917Medicaid