Healthcare Provider Details

I. General information

NPI: 1649158494
Provider Name (Legal Business Name): UJIMA MATERNITY NETWORK INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 MAIN DR
FAYETTEVILLE AR
72704-5220
US

IV. Provider business mailing address

2104 HARKRIDER ST STE 104
CONWAY AR
72032-2418
US

V. Phone/Fax

Practice location:
  • Phone: 501-358-6022
  • Fax:
Mailing address:
  • Phone: 501-358-6022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: NICOLLE SHERRIE FLETCHER
Title or Position: FOUNDER AND EXECUTIVE DIRECTOR
Credential: CLD, CLC
Phone: 501-499-1043