Provider Demographics
NPI:1649834748
Name:DOYLEY, CHERISE JENELLE (DOULA)
Entity type:Individual
Prefix:MRS
First Name:CHERISE
Middle Name:JENELLE
Last Name:DOYLEY
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 1:304 N KEECH ST
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-3028
Mailing Address - Country:US
Mailing Address - Phone:386-299-7013
Mailing Address - Fax:
Practice Address - Street 1:304 N KEECH ST
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-3028
Practice Address - Country:US
Practice Address - Phone:386-299-7013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula