Provider Demographics
NPI:1518728955
Name:SLIGH, JENNIFER MARGUERITE (CD/PCD(DONA), CLC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARGUERITE
Last Name:SLIGH
Suffix:
Gender:F
Credentials:CD/PCD(DONA), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 FREEMAN ST APT 201
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-2885
Mailing Address - Country:US
Mailing Address - Phone:603-921-1818
Mailing Address - Fax:
Practice Address - Street 1:20 FREEMAN ST APT 201
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-2885
Practice Address - Country:US
Practice Address - Phone:603-921-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
351588174N00000X
ME374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN