Individual
JACLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
270 OLD HOOK RD, WESTWOOD, NJ 07675-3117
(201) 358-0505
(201) 358-1515
Mailing address
3 CROSS ST, UNIT 202, SUFFERN, NY 10901-4622
(845) 596-4788
(845) 357-2495
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
25ME00054100
NJ
367A00000X
Advanced Practice Midwife
Primary
25ME00054101
NJ
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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