Provider Demographics
NPI:1912237801
Name:HUFF HYDE, JAMIE LOUISE (LMT, DOULA)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LOUISE
Last Name:HUFF HYDE
Suffix:
Gender:F
Credentials:LMT, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 BRIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:ME
Mailing Address - Zip Code:04912-4432
Mailing Address - Country:US
Mailing Address - Phone:207-654-2694
Mailing Address - Fax:
Practice Address - Street 1:315 BRIGHTON RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:ME
Practice Address - Zip Code:04912-4432
Practice Address - Country:US
Practice Address - Phone:207-654-2694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula