Provider Demographics
NPI:1629817002
Name:JONES, TAMIKA LEJEAN (DOULA)
Entity type:Individual
Prefix:
First Name:TAMIKA
Middle Name:LEJEAN
Last Name:JONES
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:TAMIKA
Other - Middle Name:LEJEAN
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:194 MIDWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-3832
Mailing Address - Country:US
Mailing Address - Phone:270-619-9415
Mailing Address - Fax:
Practice Address - Street 1:194 MIDWAY AVE
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-3832
Practice Address - Country:US
Practice Address - Phone:270-619-9415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula