Individual
MS. JENNIFER SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00059201
NJ
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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