Provider Demographics
NPI:1013797323
Name:TIGGS, JENNIFER D (LABOR DOULA)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:D
Last Name:TIGGS
Suffix:
Gender:F
Credentials:LABOR DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4072 W PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-2447
Mailing Address - Country:US
Mailing Address - Phone:313-918-8018
Mailing Address - Fax:
Practice Address - Street 1:4072 W PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-2447
Practice Address - Country:US
Practice Address - Phone:313-918-8018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula