Individual
MS. JESSICA LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, CDE
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8533
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
F000969
NY
Other
Enumeration date
08/31/2006
Last updated
12/20/2019
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