MEDICARE: JESSICA LYNN ALBRECHT CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	CNM560	NC
2	367A00000X	Advanced Practice Midwife	325	NC

General Provider Information

NPI Number	:	1194141416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN ALBRECHT CNM

Provider Business Mailing Address
First Line	:	4414 LAKE BOONE TRL STE 402
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-7520
Country	:	US
Telephone Number	:	919-567-6133
Fax Number	:

Provider Business Practice Location Address
First Line	:	4414 LAKE BOONE TRL STE 402
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-7520
Country	:	US
Telephone Number	:	919-567-6133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2014
Last Update Date	:	12/01/2025

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