Provider Demographics
NPI:1689377269
Name:HARDCASTLE, JENNIFER (BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HARDCASTLE
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-4420
Mailing Address - Country:US
Mailing Address - Phone:517-898-7724
Mailing Address - Fax:
Practice Address - Street 1:1518 CAMBRIDGE DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4420
Practice Address - Country:US
Practice Address - Phone:517-898-7724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty