Joseph, Jennie Susan

Joseph, Jennie Susan is an individual health care provider with primary practice located at 213 S. Dillard St Suite 340, Winter Garden FL 34787-2922. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Nursing Service Related Providers / Doula, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Joseph, Jennie Susan can be contacted via phone (407) 656-6938.

Contact Information

Primary practice address
213 S. Dillard St Suite 340 Winter Garden FL 34787-2922
Phone: (407) 656-6938
Fax: (407) 656-9161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Nursing Service Related Providers / Doula 374J00000X
Other Service Providers / Midwife 176B00000X MW0053 Florida

Profile Details

NPI number 1205833266
LBN Legal business name Joseph, Jennie Susan
Credentials LM, CPM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Dec 13th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205833266 NPPES
Florida MEDICAID 340010700

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