Provider Demographics
NPI:1548965635
Name:BRANDES, JESSICA MARIE (BSN-RN BIRTH DOULA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIE
Last Name:BRANDES
Suffix:
Gender:F
Credentials:BSN-RN BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-2248
Mailing Address - Country:US
Mailing Address - Phone:515-460-8700
Mailing Address - Fax:
Practice Address - Street 1:508 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:IA
Practice Address - Zip Code:50201-2248
Practice Address - Country:US
Practice Address - Phone:515-460-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula