Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 25ME00051801 | NJ |
Y | 176B00000X | Midwife | LK-0000172 | DE |
NPI | 1053651737 |
---|---|
Provider Name | Mrs. Jennifer Marie Hale |
First Address | Wilmington, DE 19802-4707 |
Second Address | Wilmington, DE 19802-4707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2013 |
Last Update Date | 17/10/2020 |