# MS. JENNIE SUSAN JOSEPH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205833266
- **Gender:** F
- **Credential:** LM, CPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | — | NULL | — |
| 176B00000X | Midwife | MW0053 | FL | Yes |
| 374J00000X | Doula | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2005
- **Last updated:** 12/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 340010700 | — | FL |