Provider Demographics
NPI:1295428472
Name:NATURALLY NURTURED BIRTH SERVICES
Entity type:Organization
Organization Name:NATURALLY NURTURED BIRTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWENS
Authorized Official - Suffix:
Authorized Official - Credentials:CLCCD(DONA)
Authorized Official - Phone:901-504-4364
Mailing Address - Street 1:3514 WINHOMA DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-2745
Mailing Address - Country:US
Mailing Address - Phone:901-504-4364
Mailing Address - Fax:
Practice Address - Street 1:3514 WINHOMA DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-2745
Practice Address - Country:US
Practice Address - Phone:901-504-4364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty