Provider Demographics
NPI:1588395065
Name:JONES, KENDRA (DOULA)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:31 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-2245
Mailing Address - Country:US
Mailing Address - Phone:201-988-8518
Mailing Address - Fax:201-608-7589
Practice Address - Street 1:31 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660-2245
Practice Address - Country:US
Practice Address - Phone:201-988-8518
Practice Address - Fax:201-608-7589
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)