Individual
JENNIFER L DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704354569
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704354569
RN LICENSE
MI
Enumeration date
06/07/2022
Last updated
07/28/2025
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