Whalio Doctors

NPI 1255859690

Jenny Marie Bagg, CNM

Practitioner Advanced Practice Midwife St Petersburg, FL

Practice location

Address
1344 22nd St S, St Petersburg, FL 33712-2744
Phone
(727) 824-8181
Fax
(727) 824-8137
Mailing address
PO Box 10549, St Petersburg, FL 33733-0549

Registered specialties

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Registry record

NPI
1255859690
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Sep 2017
Record last updated
10 Nov 2017

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.