Provider Demographics
NPI:1043028400
Name:JAMII BIRTH AND WELLNESS SERVICES, LLC
Entity type:Organization
Organization Name:JAMII BIRTH AND WELLNESS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARICE
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:CHILDS WARDLAW
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:833-526-4448
Mailing Address - Street 1:3590 TOWNE POINT RD UNIT 6791
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-1339
Mailing Address - Country:US
Mailing Address - Phone:833-526-4448
Mailing Address - Fax:757-439-7406
Practice Address - Street 1:3333 STATION HOUSE RD STE B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-2515
Practice Address - Country:US
Practice Address - Phone:833-526-4448
Practice Address - Fax:757-859-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty