NPI 1083312615

Jasmine Rose Bullock Wicks, CDDONA

Practitioner Doula Fairbanks, AK

Practice location

Address: 5486 Loeta Way, Fairbanks, AK 99712-3531
Phone: (228) 547-8690

Registered specialties

Doula Primary

Nursing Service Related Providers Taxonomy 374J00000X

Other Doula providers in Alaska →

Registry record

NPI: 1083312615
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2023
Record last updated: 22 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.