# CROWNING MIDWIFERY, BIRTH SERVICES, AND BEYOND PLLC

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

## Provider details

- **NPI number:** 1689431025
- **Authorized official:** KIMBERLEY HOMER (MIDWIFE/OWNER)
- **Authorized official phone:** (305) 510-9654

## Contact information

- **Practice address:** 14050 INTEGRA DR APT 1112, JACKSONVILLE, FL 32218-2669
- **Practice address phone:** (850) 296-7608
- **Practice address fax:** (850) 204-7718
- **Mailing address:** 6501 ARLINGTON EXPY, B105 \#7003, JACKSONVILLE, FL 32211
- **Mailing address phone:** (305) 510-9654
- **Mailing address fax:** (850) 204-7718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 175M00000X | Lay Midwife | — | NULL | — |
| 175M00000X | Lay Midwife | — | — | — |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |
| 374J00000X | Doula | — | NULL | — |
| 374J00000X | Doula | — | — | — |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 03/04/2024