Individual
MS. JESSI'CA COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, CD(DONA)
Contact information
Practice address
451 BROOKVIEW DR STE A, RIVERDALE, GA 30274-7206
(407) 387-0522
Mailing address
PO BOX 961064, RIVERDALE, GA 30296-7064
(407) 387-0522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171000000X
Military Health Care Provider
—
VA
171400000X
Health & Wellness Coach
—
GA
172V00000X
Community Health Worker
—
GA
174N00000X
Lactation Consultant (Non-RN)
—
—
175F00000X
Naturopath
—
—
175M00000X
Lay Midwife
—
—
332BC3200X
Customized Equipment (DME)
—
GA
374J00000X
Doula
Primary
—
GA
374J00000X
Doula
—
VA
376K00000X
Nurse's Aide
—
VA
Other
Enumeration date
02/11/2020
Last updated
01/06/2023
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