# MOONSTONE MIDWIFERY & FAMILY HEALTH

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

## Provider details

- **NPI number:** 1841528312
- **Authorized official:** GRETCHEN H JENKINS C.N.M. (OWNER)
- **Authorized official phone:** (260) 482-1369

## Contact information

- **Practice address:** 3201 INWOOD DR, FORT WAYNE, IN 46815-5909
- **Practice address phone:** (260) 482-1369
- **Practice address fax:** (260) 482-1369
- **Mailing address:** 3201 INWOOD DR, FORT WAYNE, IN 46815-5909
- **Mailing address phone:** (260) 482-1369
- **Mailing address fax:** (260) 482-1369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 09000144A | IN | Yes |

## Other

- **Enumeration date:** 11/22/2009
- **Last updated:** 11/22/2009