Provider Demographics
NPI:1639904253
Name:DUFFY, JOANNA MARIE (CD(DONA),CLC,CPST)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:MARIE
Last Name:DUFFY
Suffix:
Gender:F
Credentials:CD(DONA),CLC,CPST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 15TH ST
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-2170
Mailing Address - Country:US
Mailing Address - Phone:309-592-0216
Mailing Address - Fax:
Practice Address - Street 1:524 15TH ST
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-2170
Practice Address - Country:US
Practice Address - Phone:309-592-0216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula