Provider Demographics
NPI:1962153114
Name:BINGHAM, JAMILLIA AKI (CERTIFIED BIRTH DOUL)
Entity type:Individual
Prefix:
First Name:JAMILLIA
Middle Name:AKI
Last Name:BINGHAM
Suffix:
Gender:F
Credentials:CERTIFIED BIRTH DOUL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12502 SEATTLE SLEW DR APT 1806
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4591
Mailing Address - Country:US
Mailing Address - Phone:832-286-6403
Mailing Address - Fax:
Practice Address - Street 1:12502 SEATTLE SLEW DR APT 1806
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4591
Practice Address - Country:US
Practice Address - Phone:832-286-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty