Provider Demographics
NPI:1457119935
Name:BROWN, SHENIKA TAWIAN (DOULA)
Entity Type:Individual
Prefix:
First Name:SHENIKA
Middle Name:TAWIAN
Last Name:BROWN
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 SUFFOLK AVE APT A
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-3812
Mailing Address - Country:US
Mailing Address - Phone:443-286-0638
Mailing Address - Fax:
Practice Address - Street 1:2524 SUFFOLK AVE APT A
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3812
Practice Address - Country:US
Practice Address - Phone:443-286-0638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula