Individual
JENNIFER DEOLIVEIRA-SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
104 GLENWOOD RD, SOMERVILLE, MA 02145-2606
(617) 388-1071
Mailing address
104 GLENWOOD RD, SOMERVILLE, MA 02145-2606
(617) 388-1071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2296735
MA
367A00000X
Advanced Practice Midwife
Primary
CNM05848
MA
Other
Enumeration date
10/01/2019
Last updated
09/12/2025
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