NPI 1184105710

Jessica Qualls, CNM

Practitioner Midwife Arcanum, OH

Practice location

Address: 310 S High St, Arcanum, OH 45304-1212
Phone: (937) 417-6238

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 04411 (OH)

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Registry record

NPI: 1184105710
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2018
Record last updated: 22 Aug 2018

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.