Provider Demographics
NPI:1578383758
Name:HERNANDEZ ESCOBAR, JAKELIN NATALY (CD(DONA))
Entity type:Individual
Prefix:
First Name:JAKELIN
Middle Name:NATALY
Last Name:HERNANDEZ ESCOBAR
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 EASY ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01850-1731
Mailing Address - Country:US
Mailing Address - Phone:857-891-0506
Mailing Address - Fax:
Practice Address - Street 1:25 EASY ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01850-1731
Practice Address - Country:US
Practice Address - Phone:857-891-0506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula