Provider Demographics
NPI:1760356224
Name:NOURISH AND NURTURE: MATERNAL AND NEWBORN HEALTH CONSULTANTS
Entity type:Organization
Organization Name:NOURISH AND NURTURE: MATERNAL AND NEWBORN HEALTH CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALISIA
Authorized Official - Middle Name:CHEVESE
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, NNP-BC, IBCLC
Authorized Official - Phone:662-230-3008
Mailing Address - Street 1:302 HIGHLAND PARK CV STE C
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-6014
Mailing Address - Country:US
Mailing Address - Phone:662-230-3008
Mailing Address - Fax:
Practice Address - Street 1:302 HIGHLAND PARK CV STE C
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-6014
Practice Address - Country:US
Practice Address - Phone:662-230-3008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty