Jolene Elizabeth Jakubowsky, CNM
Individual provider Active NPI Midwife · Milaca, MN
NPI 1093552028 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1093552028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 589 (MN)
- Practice address
- 16802 145TH Ave
Milaca, MN 56353-3208 - Phone
- (320) 362-0476
- NPI assigned
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Midwife
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 589 | MN | Yes |
Addresses
Primary practice location
16802 145TH Ave
Milaca, MN 56353-3208
Mailing address
19781 Everhill Ave
Farmington, MN 55024-8676
Phone (952) 288-6584
Other names
- Jolene Elizabeth Coyer/Sirek
Other providers in Milaca, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.