Individual
JENNIFER M SHOBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-7916
(570) 808-6006
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
001626
NY
367A00000X
Advanced Practice Midwife
Primary
MW010463
PA
Other
Enumeration date
07/07/2014
Last updated
08/31/2020
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