Individual
JENNIFER C HERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
102 15TH ST NW STE 301, NORTON, VA 24273-1627
(276) 439-1470
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
0892
KY
176B00000X
Midwife
3007455
KY
367A00000X
Advanced Practice Midwife
Primary
0024172894
VA
Other
Enumeration date
07/09/2012
Last updated
12/13/2023
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