Provider Demographics
NPI:1154158475
Name:JAMERSON, CEARAE (DOULA)
Entity type:Individual
Prefix:
First Name:CEARAE
Middle Name:
Last Name:JAMERSON
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 1:1401 STANPHIL RD APT 1315
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-5483
Mailing Address - Country:US
Mailing Address - Phone:501-414-1798
Mailing Address - Fax:
Practice Address - Street 1:1401 STANPHIL RD APT 1315
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-5483
Practice Address - Country:US
Practice Address - Phone:501-414-1798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula