NPI 1013382712

Jaclyn Gossman Hauge, LMCPM

Practitioner Midwife Deltona, FL

Practice location

Address: 2593 Sheffield Dr, Deltona, FL 32738-8808
Phone: (407) 620-2662
Fax: (407) 264-8508

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence MW319 (FL)

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Registry record

NPI: 1013382712
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2015
Record last updated: 7 Dec 2015

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.