A Message from the Founder

Meet Streams of Life’s founder and owner, Lisa Vance. She is a certified Nurse-Midwife and mother of six. Having had personal and professional experience in both the hospital and homebirth setting, she has a unique lens that allows her to appreciate physiologic birth in all settings.

“Homebirth and hospital birth can be very different experiences, but I always strived to educate the mom and help her to have the birth that made her the most comfortable.” - Lisa

Lisa has over 12 years of experience with hundreds of births, embraces physiologic birth and has delivered mothers in various positions that are comfortable for them, such as squatting, in water, hands and knees and sitting in beds semi-reclined.

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Meet the Midwives

  • As a Certified Nurse-Midwife, I am trained to talk with women and guide them through the journey of womanhood- pre-pregnancy, pregnancy and beyond. One major component that I realized is that women and moms need each other to navigate through the changes of life. My passion to serve women and moms led me to found Streams of Life Birth & Wellness. I’m here to take you on the journey, to lessen the burden, answer questions and to provide community with other moms and offer access to products that have been vetted by me.

    As a mom of four girls and then boy/girl twins, I have experienced childbirth in a variety of scenarios - including two hospital unmedicated, two water home births, and a hospital with an epidural and vaginal/c-section delivery (twins). They were the hardest and yet most rewarding experiences I’ve ever had. One of the reasons I became a midwife is because I enjoy teaching moms about childbirth, setting expectations and empowering them to have all the knowledge possible to make educated decisions and ask important questions of the labor team or medical staff.

    My education includes a Bachelors in Biology from NC State, Bachelors in Nursing from Duke University and Masters in Nursing from Radford University with Midwifery concentration from Shenandoah University. I have worked in the home setting delivering babies and most recently, two local hospitals, where I was honored to be a part of introducing midwifery in the hospital setting within the Tri-Cities of Tennessee.

  • Sarah is a Certified Nurse-Midwife with a background as a doula, clinical laboratory technologist, nurse in various specialities, and home-birth midwife in North Georgia and Alabama, as well as in birth centers in South Carolina and North Carolina. Her education includes a Bachelor's in Biology from Emmanuel College, with a certification in Molecular Biology; a Bachelor's in Nursing from the University of South Carolina-Aiken; and a Master's in Nursing from Frontier Nursing University with a Midwifery concentration. 


    “My curiosity about babies, pregnancy, and women's health was present at a young age, but it grew into a true passion as I learned more. My journey to midwifery has been winding- I have been a nanny, medical office assistant, nursing/midwifery assistant, molecular biology technologist, doula, nurse, and now a midwife. Midwifery is uniquely challenging and rewarding. It can be messy and exhausting, mentally and physically, but also beautifully touching, empowering, and worth every effort. My heart and soul chose midwifery, and I am deeply thankful for this calling.”

  • Anna is a Certified Professional Midwife (CPM), doula, and an advocate of natural childbirth and holistic living. Her interest in midwifery began early after watching my younger siblings’ births from the edge of a tub in a birth center, and has since grown through diverse experiences, including supporting families in home and birth center settings, both in the U.S. and overseas. She’s served families in Southwest Virginia and the Tri-Cities, Tennessee area since 2022, partnering with fellow birth-advocates to share resources and care for mothers as their families grow and change. She considers it such an honor to provide individualized, evidence-based education and care, and to have the opportunity to meet mothers and families in such a vulnerable and transformative time. Her true hope is to be a part of the return to trusting God’s design of our bodies’ processes that allow us to bring new life into this world! She desires to provide calm, gentle, informative care that brings a sense of safety and peace to each momma that needs it. 

Meet the Nurses & Birth Assistants

  • Nicole is a wife, mama of 4, and a registered nurse. She majored in Exercise Science at Virginia Commonwealth University, where she met her husband. This is when her interest in the benefits of exercise for pregnant women began. She and her husband James learned about the Bradley Method when she was pregnant with her first baby 10 years ago, which was the beginning of her fascination of the birth world. She went to nursing school and became a neonatal ICU nurse. She has a passion for birth, wellness, babies and educating new parents. She is an avid babywearer, enjoys baking and hiking, and can usually be found outside with her family. You will mostly find Nicole working on the Women’s Health side of Streams of Life and helping with newborn follow-ups. We are so honored to have her!

  • Laura is a wife, mama of 5, and a Certified Birth Doula and Midwifery Assistant. She grew up in Louisiana and attended Louisiana College, where she met her husband. Her interest in birth work began with the birth of their first child and the incredible care she experienced with her doula. From that experience, the birth of four more children, and the need she saw around her grew her passion to provide compassionate, respectful and knowledgeable care to mothers and families. She began teaching parents and attending births in 2005 in the Memphis area, then moved to the Tri-Cities and began supporting families as a doula in 2017. She has also taught parents as an Evidence Based Birth Instructor and began assisting midwives to help keep community midwifery care an option for families.

    Outside of births, you can find her almost always with family, homeschooling or cheering on their many varied endeavors. In this full season of life she still tries to find time to enjoy a book and blanket with a cup of tea, a sewing or knitting project, or some time outdoors in the gardens and woods.

  • I’m married to my best friend, Adam, and together we’ve been blessed with five amazing kids. I work as a birth doula and birth assistant, and I truly love what I do.

    My own birth experiences were far from what I had hoped for—each of my five babies was born via cesarean. Those experiences shaped me in ways I never expected and gave me a deep understanding of how important it is to feel supported, seen, and heard during birth.

    That’s why I’m so passionate about walking alongside other moms—helping them have the birth they dream of, offering support where I can, and simply being there through the ups and downs. Birth is powerful, and every story matters. I’m honored to be a part of yours.

  • As a little girl, I was obsessed with pregnancy, birth, and motherhood. It had a hold on my heart that has now manifested so beautifully in my life. I married my college sweetheart, Scott, in 2008. We started our family pretty much right away. While I was beyond in love with our first gorgeous baby girl, my birth experience more than fell flat, I felt traumatized and aghast, wondering how something I had expected to be so wonderful, intimate, and spiritual came so short of the mark. After educating myself, experiencing a myriad of different labors and births, I hired a doula for my fifth pregnancy, and finally achieved my dream labor and birth. The experience was so amazing, I felt I had cracked some secret code to birth, and I wanted to share this with other women. Thus began my own birthwork journey. I certified as a labor and birth doula in 2020. It has been an honor and divine privilege to attend and serve mamas and babies in my home town and surrounding area. As I became emerged more in our local birthworker community and discovered the role of a midwife assistant, I was immediately intrigued and eager to expand my knowledge and better serve women. When I am not at a birth as a doula or Midwife Assistant, I am homeschooling my six children, doing home renovations, or immersing myself in a good book.

  • During nursing school, I was so excited when I landed my first nurse assistant job in the NICU. I worked there a year and a half, and I absolutely loved caring for the tiniest of babies. At first, I was scared to touch the little preemies; they looked so fragile. I learned pretty quickly how strong and resilient those tiny babies are. My favorite memories are when I got to help snuggle, feed, and bathe the little babies.


    After graduating with my BSN from Milligan university, I spent a year and a half working in a cardiac ICU. There my patients ranged from post open-heart surgery to stroke survivors and everything in between. I missed my cute baby patients, but loved the fast pace and new learning opportunities in the ICU. When I had my first baby in 2023, life slowed down for me, I started to look for a nursing opportunity out of the hospital system.

    My pregnancy with my baby girl had opened my eyes to the beauty of midwifery care. I had seen midwifery portrayed in the show "Call the Midwife," and now here I was experiencing it in real life.  I loved the personalized care I received at Streams of Life during my pregnancy, and God planted in my mind the dream of working there one day. I was so thankful for all that I learned and the support that I felt during my pregnancy, and I am thrilled to be joining this amazing team to serve pregnant mamas.