Provider Demographics
NPI:1760241772
Name:EDWARDS, ZAMEIKA RUCHELLE (CD, CPD, CBE, CBC)
Entity Type:Individual
Prefix:MRS
First Name:ZAMEIKA
Middle Name:RUCHELLE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:CD, CPD, CBE, CBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SOWESCOR ST
Mailing Address - Street 2:
Mailing Address - City:CROCKETT
Mailing Address - State:TX
Mailing Address - Zip Code:75835-3132
Mailing Address - Country:US
Mailing Address - Phone:936-222-1063
Mailing Address - Fax:
Practice Address - Street 1:113 SOWESCOR ST
Practice Address - Street 2:
Practice Address - City:CROCKETT
Practice Address - State:TX
Practice Address - Zip Code:75835-3132
Practice Address - Country:US
Practice Address - Phone:936-222-1063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6427374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula