Jennifer Share Midwifery and Tess Interlicchia Nurse Practitioner in F
Organization Active NPI Midwife · Pine City, NY
NPI 1790432136 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1790432136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Midwife 176B00000X
- Legal business name
- JENNIFER SHARE MIDWIFERY AND TESS INTERLICCHIA NURSE PRACTITIONER IN F
- Practice address
- 12003 Fish Pond Rd
Pine City, NY 14871-9475 - Phone
- (607) 738-7218
- NPI assigned
- Mar 6, 2022
- Organization subpart
- No
Authorized official
- Name
- Jennifer Share, CNM
- Title
- CNM
- Phone
- (607) 738-7218
National Provider Directory
Locations
21 E Market St
Ste 101
Corning, NY 14830
Phone (607) 377-6732
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | Yes |
Addresses
Primary practice location
12003 Fish Pond Rd
Pine City, NY 14871-9475
Mailing address
12003 Fish Pond Rd
Pine City, NY 14871-9475
Phone (607) 738-7218
Other names
- Root to Rise Wellness Center
Other providers in Pine City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. 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.