IndividualActive
Jasmine Wicks, CD(DONA)
NPI 1083312615 · Doula · Fairbanks, AK
Provider details
- NPI number
- 1083312615
- Entity type
- Individual
- Primary specialty
- DoulaNursing Service Related Providers
- Credential
- CD(DONA)
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
5486 Loeta Way
Fairbanks, AK 99712-3531
Phone: (228) 547-8690
Approximate (ZIP-level) locationGet directions
Mailing address
5486 Loeta Way
Fairbanks, AK 99712-3531
Registry dates
- Enumerated
- 2023-02-22
- Last updated
- 2023-02-22
- Certified
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.