Individual
JENNA GENRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209023755
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209023755
STATE LICENSE
IL
01
—
309017555
CS LICENSE
IL
Enumeration date
08/11/2021
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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