Provider Demographics
NPI:1619701190
Name:SHARP, JODEE (DOULA)
Entity type:Individual
Prefix:
First Name:JODEE
Middle Name:
Last Name:SHARP
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 1:78366 CLOUD LN
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-8474
Mailing Address - Country:US
Mailing Address - Phone:541-270-7543
Mailing Address - Fax:
Practice Address - Street 1:78366 CLOUD LN
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-8474
Practice Address - Country:US
Practice Address - Phone:541-270-7543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000106084172V00000X
OR106084374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker