Healthcare Provider Details

I. General information

NPI: 1407768138
Provider Name (Legal Business Name): JENDAYI DOULA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RIVERCAMP ST
CLAYTON NC
27527-5146
US

IV. Provider business mailing address

105 RIVERCAMP ST
CLAYTON NC
27527-5146
US

V. Phone/Fax

Practice location:
  • Phone: 540-273-5923
  • 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: JEKISHA ELLIOTT
Title or Position: OWNER/FOUNDER
Credential:
Phone: 540-273-5923