NPI 1548099757

Katrina Marcia Jackson, CNM

Practitioner Advanced Practice Midwife New London, CT

Practice location

Address: 3 Shaws Cv STE 206, New London, CT 06320-4968
Phone: (860) 443-4148
Mailing address: 402 Center St, West Haven, CT 06516-4204

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 576 (CT)

Other Advanced Practice Midwife providers in Connecticut →

Registry record

NPI: 1548099757
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2024
Record last updated: 29 Jul 2024

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.