Individual
JACQUELYNN MELISSA SMITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
13515 WOLFE RD, NEW FREEDOM, PA 17349-9346
(717) 812-2540
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
R211303
MD
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
05/22/2025
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