Provider Demographics
NPI:1891263521
Name:OREN, JESSICA MARTHA (BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARTHA
Last Name:OREN
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 1:5308 DEVILS RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7711
Mailing Address - Country:US
Mailing Address - Phone:121-499-1859
Mailing Address - Fax:
Practice Address - Street 1:3120 HUDSON XING STE D4
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6555
Practice Address - Country:US
Practice Address - Phone:214-991-8594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula