Individual
JORDAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3101 TELEGRAPH AVE, BERKELEY, CA 94705-1984
(510) 280-5543
Mailing address
1209 34TH ST, OAKLAND, CA 94608-4133
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CNM08000
CA
367A00000X
Advanced Practice Midwife
Primary
236287
CA
367A00000X
Advanced Practice Midwife
CNM08000
CA
Other
Enumeration date
09/15/2022
Last updated
10/30/2022
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