Jennifer Courtney, CPM, LM
Individual provider Active NPI Midwife · Marshall, TX
NPI 1154660587 · NPPES record last updated Feb 5, 2013
Key facts
- NPI
- 1154660587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 99169 (TX)
- Practice address
- 404 University Ave
Marshall, TX 75670-5262 - Phone
- (318) 230-7503
- NPI assigned
- Feb 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99169 | TX | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 99169 | TX | Yes |
Addresses
Primary practice location
404 University Ave
Marshall, TX 75670-5262
Mailing address
PO Box 952
Marshall, TX 75671-0952
Phone (318) 230-7503
Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2013. 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.