Individual
JEAN MCHENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
107 PROSPECT PLACE DR, LAKE ST LOUIS, MO 63367-1829
(630) 877-7482
Mailing address
107 PROSPECT PLACE DR, LAKE ST LOUIS, MO 63367-1829
(630) 877-7482
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18120013
NATIONAL ASSOCIATION REGISTERED MIDWIVES (NARM)
—
Enumeration date
07/19/2019
Last updated
07/19/2019
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