Individual
JENNIE MOORE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23565 BRANDYWYNNE ST, SOUTHFIELD, MI 48033-2952
(248) 388-4532
Mailing address
23565 BRANDYWYNNE ST, SOUTHFIELD, MI 48033-2952
(248) 388-4532
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
NA
MI
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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