Active NPI
Jennifer T Stuckey, RN,MSN,CNM
- Advanced Practice Midwife
- Macon, GA
National Provider Identifier
1760716633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN148291
- Practice address
- 682 Hemlock St
Ste 210
Macon, GA 31201-8314 - Phone
- (478) 742-6738
- Fax
- (478) 742-6153
- NPI assigned
- Sep 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN148291 | GA | Primary |
Addresses
Primary practice location
682 Hemlock St
Ste 210
Macon, GA 31201-8314
Mailing address
682 Hemlock St
Ste 210
Macon, GA 31201-8314
Phone (478) 742-6738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN148291 | GA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1760716633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 HEMLOCK ST",
"address_2": "STE 210",
"city": "MACON",
"state": "GA",
"postal_code": "312018314",
"telephone_number": "478-742-6738",
"fax_number": "478-742-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 HEMLOCK ST",
"address_2": "STE 210",
"city": "MACON",
"state": "GA",
"postal_code": "312018314",
"telephone_number": "478-742-6738",
"fax_number": "478-742-6153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "JENNIFER",
"middle_name": "T",
"credential": "RN,MSN,CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN148291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.