Individual
JAMIE LYNN HUBERTY-KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
3033 EXCELSIOR BLVD STE 585, MINNEAPOLIS, MN 55416-6400
(612) 345-5920
Mailing address
1043 HUMBOLDT AVE, WEST SAINT PAUL, MN 55118-1432
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1099
MN
176B00000X
Midwife
523-49
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPM23060259
NORTH AMERICAN REGISTRY OF MIDWIVES (NARM)
—
Enumeration date
03/20/2023
Last updated
03/05/2024
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