Nurisha Shavon Jack, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0024177805 Issued in VA

Practice address

3903 Woodhaven LN
Bowie, MD 20715-1276

Phone

(202) 380-6880

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Nurisha Shavon Zenebe Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Yve Collective, LLC

  • Midwife
  • Bowie, MD
  • NPI 1962329839
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1306338363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 WOODHAVEN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151276",
            "telephone_number": "202-380-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WOODHAVEN LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151276",
            "telephone_number": "202-380-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "NURISHA",
        "middle_name": "SHAVON",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024177805",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MD",
            "license": "R191018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NURISHA",
            "last_name": "ZENEBE",
            "middle_name": "SHAVON",
            "credential": "CNM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Judith A Iwuji
• J Callwood & Associates
• J Healthcare Services and Consultation
• Katrina Jabonete
• Jace Inc.
• Kia M Jackson-Garnett, MSW, LICSW, LCSW-C
• Anastasia Jackson
• Jamal D Jackson
• Joyce Jackson, LMSW
• Tomesha Jackson, LCPC

• Advanced Practice Midwife in Bowie, MD
• Providers in Bowie, MD by specialty
• Advanced Practice Midwife in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.