Provider Demographics
NPI:1508628561
Name:BARKER, JILLIAN (DOULA, CLS, MHFA)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:BARKER
Suffix:
Gender:F
Credentials:DOULA, CLS, MHFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 ROBBINS AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-3348
Mailing Address - Country:US
Mailing Address - Phone:330-978-0202
Mailing Address - Fax:
Practice Address - Street 1:1106 ROBBINS AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-3348
Practice Address - Country:US
Practice Address - Phone:330-978-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN