Individual
WILHELMINA G THOMAS-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2811
(203) 384-3873
(203) 384-3829
Mailing address
PO BOX 5246, BRIDGEPORT, CT 06610-0246
(203) 384-3873
(203) 384-3829
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000127
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004221066
—
CT
Enumeration date
04/13/2006
Last updated
08/24/2016
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