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NPI Code Detail

MEDICARE: MS. DENISE DIANE JACOBS DOULA

MEDICARE:  MS. DENISE DIANE JACOBS  DOULA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1285439158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISE DIANE JACOBS DOULA
Provider Business Mailing Address
First Line : 962 E 83RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3813
Country : US
Telephone Number : 917-776-6081
Fax Number :
Provider Business Practice Location Address
First Line : 962 E 83RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3813
Country : US
Telephone Number : 917-776-6081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2025
Last Update Date : 03/29/2025

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Directions to “ MS. DENISE DIANE JACOBS DOULA” Practice Location

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