Individual
MS. JENNIFER ANN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
000373
CT
367A00000X
Advanced Practice Midwife
Primary
1010134298
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000373
LICENSE
CT
01
—
1010134298
LICENSE
VT
Enumeration date
09/11/2012
Last updated
05/18/2023
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