Provider Demographics
NPI:1124867536
Name:TAYLOR, OKEYDA (DOULA)
Entity type:Individual
Prefix:
First Name:OKEYDA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EISENHOWER AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2948
Mailing Address - Country:US
Mailing Address - Phone:856-899-6291
Mailing Address - Fax:
Practice Address - Street 1:1 EISENHOWER AVE APT 2B
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-2948
Practice Address - Country:US
Practice Address - Phone:856-899-6291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty