Organization
MOONSTONE MIDWIFERY & FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN H JENKINS C.N.M. (OWNER)
(260) 482-1369
Entity
Organization
Contact information
Practice address
3201 INWOOD DR, FORT WAYNE, IN 46815-5909
(260) 482-1369
(260) 482-1369
Mailing address
3201 INWOOD DR, FORT WAYNE, IN 46815-5909
(260) 482-1369
(260) 482-1369
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000144A
IN
Other
Enumeration date
11/22/2009
Last updated
11/22/2009
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