Individual
JANE M BRIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2 TAMPA GENERAL CIR, 6STC, TAMPA, FL 33606-3603
(810) 656-4006
Mailing address
2 TAMPA GENERAL CIR, 6STC, TAMPA, FL 33606-3603
(810) 656-4006
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704206781
MI
367A00000X
Advanced Practice Midwife
9399322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014643000
—
FL
01
—
1010140
MCLAREN HEALTH PLAN
MI
01
—
420B512750
BLUE CROSS BLUE SHIELD
MI
05
—
4624120
—
MI
05
—
4638994
—
MI
01
—
Y0R0F
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/01/2005
Last updated
05/06/2015
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