JOHANNAH LOGAN WICKHAM


Address: 406a Ash St, Lowell, AR 72745-9629
Phone: 4798794241

JOHANNAH LOGAN WICKHAM (NPI# 1316581770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316581770
Entity Type Individual
Full Name JOHANNAH LOGAN WICKHAM
Practice Address 406a Ash St
Lowell
AR 72745-9629
Mailing Address 406 Ash St # A
Lowell
AR 72745-9629
Practice Telephone 4798794241
Mailing Telephone 4798794241
Enumeration Date 2019-10-29
Last Update Date 2019-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 374J00000X Doula Nursing Service Related Providers

Office Location

Street Address 406A ASH ST
City LOWELL
State AR
Zip Code 72745-9629

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518442706 Harps Food Stores, Inc. Pharmacy 916 W Monroe Ave., Lowell, AR 72745 2018-10-03
1801300405 Sarah Elizabeth Bright Speech-Language Pathologist 121 South Ave., Lowell, AR 72745 2017-11-20
1306398151 Keegan Sutton Occupational Therapist 612 S Lincoln, Ste A, Lowell, AR 72745 2016-10-27
1922470368 Sharon Hunter Contractor 14213 Edens Bluff Drive, Lowell, AR 72745 2015-10-26
1881959450 Robert J. Tomlinson Md, Pa Orthopaedic Surgery 212 W. Monroe Ave., Ste A, Lowell, AR 72745 2012-07-10
1376806760 Gretchen E Brannon Nurse Practitioner 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 2012-06-20
1407094220 Dr. Angela Moore Family Chiropractic, P.l.c. Chiropractor 117 S Dixieland St, Ste B, Lowell, AR 72745 2009-02-02
1104078302 University of Arkansas for Medical Science Developmental Therapist 519 Latham Dr., Lowell, AR 72745 2008-10-21
1356593479 University of Arkansas for Medical Sciences Registered Nurse 519 Latham Drive, Lowell, AR 72745 2008-10-21
1912039827 Looper Chiropractic Pa Chiropractor 200 S Bloomington, Ste I, Lowell, AR 72745 2007-03-09
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Taxonomy Information

Taxonomy Code 374J00000X
Grouping Nursing Service Related Providers
Classification Doula

Taxonomy Definition

Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730639709 Megan Vandervest Doula 646 Montcalm Ave Ne, Lowell, MI 49331-9372 2016-10-13
1841632015 Donna Marie Rosaves Doula 9228 W 158th Ct, Lowell, IN 46356-9380 2013-07-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548893944 Abigail Mino Doula 2901 Carthage St, Fort Smith, AR 72901-6915 2020-02-13
1356972715 Letara Davis Doula 45 Valley View Cir, Bentonville, AR 72712-7517 2020-02-03
1225669997 Cassi D Mason Doula 408 Madison 1435, Huntsville, AR 72740-8105 2020-01-30
1992349328 Sara Elizabeth Bojie Doula 902 S Walton Blvd # 151, Bentonville, AR 72712-6237 2019-10-29
1730740911 Haley Nicole Coors Doula 1604 Rushing Cir, Conway, AR 72032-2637 2019-06-27
1487133880 Christi M Ward Doula 1402 Camino Real, Springdale, AR 72762-2118 2018-08-07
1730615196 Cassie Disch Doula 900 Missouri Rd, Charleston, AR 72933-3023 2017-05-04
1619320959 Mothers United Doula 305 E 16th St, Little Rock, AR 72202-5027 2016-07-21
1114384427 Marlies Maria Biesinger Doula 988 Highway 261, Colt, AR 72326-8412 2016-01-19
1497139174 Derrica Conklin Doula 3359 W Cornell Dr, Fayetteville, AR 72704-6775 2015-07-13
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Competitor

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City LOWELL
Zip Code 72745

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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