Jennifer M Shoback, CNM Valid NPI
Individual provider · Advanced Practice Midwife · Wilkes Barre, PA
- NPI
- 1528474905
- Type
- Individual (Type 1)
- Primary specialty
- Advanced Practice Midwife
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 367A00000X
- License number
- MW010463 (PA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-07-07
- Last updated
- 2020-08-31
Practice location
1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906
(570) 808-7916