Provider Demographics
NPI:1285439158
Name:JACOBS, DENISE DIANE (DOULA)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:DIANE
Last Name:JACOBS
Suffix:
Gender:
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 E 83RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3813
Mailing Address - Country:US
Mailing Address - Phone:917-776-6081
Mailing Address - Fax:
Practice Address - Street 1:962 E 83RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3813
Practice Address - Country:US
Practice Address - Phone:917-776-6081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula