Individual
CARRIE JIVIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2151 W FAIR AVE, UNIT 113, LANCASTER, OH 43130-8820
(740) 475-8446
Mailing address
2151 W FAIR AVE, UNIT 113, LANCASTER, OH 43130-8820
(740) 475-8446
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
OH
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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