Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jasmine Rose Bullock Wicks, CDDONA

Individual provider Doula · NPI 1083312615

Jasmine Rose Bullock Wicks, CDDONA is a Doula in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5486 Loeta Way
Fairbanks, AK 99712-3531
Phone: (228) 547-8690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X

Record details

NPI number1083312615
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDDONA
Sole proprietorYes
NPI enumeratedFebruary 22, 2023
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023