# SUNSHINE STATE MIDWIFERY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508331349
- **Authorized official:** JENNIFER M STONE LM, CPM, LPN (OWNER/MIDWIFE)
- **Authorized official phone:** (904) 717-4994

## Contact information

- **Practice address:** 1988 ASHTON ST, MIDDLEBURG, FL 32068-6915
- **Practice address phone:** (904) 717-4994
- **Practice address fax:** (904) 758-5338
- **Mailing address:** 1988 ASHTON ST, MIDDLEBURG, FL 32068-6915
- **Mailing address phone:** (904) 717-4994
- **Mailing address fax:** (904) 758-5338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2018
- **Last updated:** 10/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100152100 | — | FL |