Individual
MS. JENNIE SUSAN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
213 S. DILLARD ST, SUITE 340, WINTER GARDEN, FL 34787-2922
(407) 656-6938
(407) 656-9161
Mailing address
213 S DILLARD ST, SUITE 340, WINTER GARDEN, FL 34787-3596
(407) 656-6938
(407) 656-9161
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
176B00000X
Midwife
Primary
MW0053
FL
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340010700
—
FL
Enumeration date
07/06/2005
Last updated
12/13/2018
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