Provider Demographics
NPI:1023335189
Name:GROVES, JESSICA (AAHCC, CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:GROVES
Suffix:
Gender:F
Credentials:AAHCC, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-1950
Mailing Address - Country:US
Mailing Address - Phone:443-507-0571
Mailing Address - Fax:
Practice Address - Street 1:325 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-1950
Practice Address - Country:US
Practice Address - Phone:443-507-0571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula