| NPI | 1376904458 |
|---|---|
| Former Name | KIERRA AMANDA JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 104106320) |
| 367A00000X Advanced Practice Midwife (Licence: IL CNM07665) | |
| 374J00000X Doula | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2022-07-06 |