Individual
MS. JILL MCELLIGOTT WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM CPM
Contact information
Practice address
152 WINDING CREEK RD, QUINCY, FL 32351
(850) 443-2953
Mailing address
PO BOX 3422, TALLAHASSEE, FL 32315
(850) 443-2953
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340451000
—
FL
Enumeration date
11/08/2007
Last updated
11/08/2007
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