Healthcare Provider Details

I. General information

NPI: 1164336301
Provider Name (Legal Business Name): ABIGAIL JAHAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14823 SE GRANT RD
HAZELTON KS
67061-9015
US

IV. Provider business mailing address

14823 SE GRANT RD
HAZELTON KS
67061-9015
US

V. Phone/Fax

Practice location:
  • Phone: 928-925-6597
  • Fax:
Mailing address:
  • Phone: 928-925-6597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: