NPI 1003679846

Jenasee Loretta South

Practitioner Advanced Practice Midwife Phoenix, AZ

Practice location

Address: 1300 N 12th St STE 620, Phoenix, AZ 85006-2850
Phone: (602) 283-3668
Fax: (833) 471-4382

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 308886 (AZ)

Other Advanced Practice Midwife providers in Arizona →

Registry record

NPI: 1003679846
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2024
Record last updated: 1 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.