Individual
JILL PROVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3370 S MERCY RD STE 314, GILBERT, AZ 85297-0417
(480) 782-0993
(833) 337-0386
Mailing address
4330 E MCNEIL ST, PHOENIX, AZ 85044-5579
(480) 431-5690
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
301662
AZ
Other
Enumeration date
01/26/2024
Last updated
04/21/2026
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