Individual provider · NPI-1

Jessica Cullen, CNM

Advanced Practice Midwife · Sacramento, CA

NPI number1003558297
StatusActive
Last updated in NPPESNov 4, 2022

Details

NPI
1003558297
Entity type
Individual (NPI-1)
Name
Jessica Cullen
Credential
CNM
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 8, 2022
Certification date
Nov 4, 2022
Last updated
Nov 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife236264CAYes
374J00000X Doula––

Practice location

4500 47th Ave Ste 5
Sacramento, CA 95824-3848

Phone 916-668-9467

Mailing address

4500 47th Ave Ste 5
Sacramento, CA 95824-3848

Other practice locations

215 W Beamer St
Woodland, CA 95695-2510

Phone 530-405-5255

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