Whalio Doctors

NPI 1528474905

Jennifer M Shoback, CNM

Practitioner Advanced Practice Midwife Wilkes Barre, PA

Practice location

Address
1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906
Phone
(570) 808-7916
Fax
(570) 808-6006
Mailing address
100 N Academy Ave, Danville, PA 17822-4903

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence MW010463 (PA)
Advanced Practice Midwife
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 001626 (NY)

Registry record

NPI
1528474905
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jul 2014
Record last updated
31 Aug 2020

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.