Individual
MS. JENNIFER ANN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
388 W CENTER ST, MANCHESTER, CT 06040-4735
(860) 649-1120
(860) 645-8541
Mailing address
50 TIMBER TER, CARY, IL 60013-1555
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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