Provider Demographics
NPI:1568730810
Name:TOLMAN, JENNIFER LAILA (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LAILA
Last Name:TOLMAN
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 1:1524 W IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-2926
Mailing Address - Country:US
Mailing Address - Phone:405-370-8893
Mailing Address - Fax:
Practice Address - Street 1:1524 W IOWA AVE
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2926
Practice Address - Country:US
Practice Address - Phone:405-370-8893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6632374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula