Active NPIIndividual providerSole proprietor

Dr. Jennifer L Douglas, CPM, LM

Midwife in Clarksburg, Massachusetts

NPI Number1487930442
Practice location
830 East RD., Clarksburg, MA 01247
Fax
888-224-1413
Last updated
March 1, 2023

Jennifer Lynn Douglas is a Midwife based in Clarksburg, MA. Jennifer Lynn Douglas practices in Clarksburg, MA and has the professional credentials of CPM, LM. The NPI Number for Jennifer Lynn Douglas is 1487930442 and holds a License No. 107.0081441 (VT). The current practice location address for Jennifer Lynn Douglas is 830 East RD., Clarksburg, MA 01247 and can be reached out via phone at 845-264-8724 and via fax at 888-224-1413.

Provider Profile Details

NPI Number
1487930442
Provider Name
Jennifer Lynn Douglas
Credential
CPM, LM
Provider Entity Type
Individual
Gender
Female
Address
830 East RD., Clarksburg, MA 01247
Phone Number
845-264-8724
Fax Number
888-224-1413
Primary Taxonomy
Midwife · 176B00000X
Sole Proprietor
Yes
Other Names
Jennifer Lynn Rush (Former Name)
Provider Enumeration Date
October 21, 2011
Last Update Date
March 1, 2023
Certification Date
March 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 East RD.
Clarksburg, MA 01247
Zip
01247
Phone Number
845-264-8724
Fax Number
888-224-1413
Clarksburg, MA 01247Get directions →

Provider Business Mailing Address Details

Address
830 East RD.
Clarksburg, MA 01247
City
Clarksburg
State
MA
Zip
01247
Phone Number
845-264-8724
Fax Number
888-224-1413

License Information

License Number (1)
107.0081441
License State (1)
VT
Taxonomy (1)
Midwife · 176B00000X
License Number (2)
1070081441
License State (2)
VT
Taxonomy (2)
Midwife · 176B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jennifer L Douglas, CPM, LM?

The NPI number of Dr. Jennifer L Douglas, CPM, LM is 1487930442. It was assigned on October 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer L Douglas, CPM, LM?

Dr. Jennifer L Douglas, CPM, LM is registered under the primary taxonomy Midwife (code 176B00000X), licensed in VT under license number 107.0081441.

Where does Dr. Jennifer L Douglas, CPM, LM practice?

The practice location is 830 East RD., Clarksburg, MA 01247. The office can be reached at 845-264-8724 (phone) or 888-224-1413 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487930442 directly on the NPPES registry website.

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