Healthcare Provider Details

I. General information

NPI: 1184501173
Provider Name (Legal Business Name): JESSICA SIZANOSKI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 WILLARD ST
AYER MA
01432-1744
US

IV. Provider business mailing address

183 WILLARD ST
AYER MA
01432-1744
US

V. Phone/Fax

Practice location:
  • Phone: 978-654-3163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JESSICA SIZANOSKI
Title or Position: DOULA
Credential:
Phone: 978-654-3163