Individual
JORDAN S KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1165 IMPERIAL DR STE 300, HAGERSTOWN, MD 21740-6556
(301) 665-9098
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
R211738
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650033100
—
MD
05
—
NA
—
MD
Enumeration date
02/02/2021
Last updated
10/30/2023
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