MEDICARE: JENEE ST JUSTE CPM

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	374J00000X	Doula
2	176B00000X	Midwife	25MW00004800	NJ

General Provider Information

NPI Number	:	1326720640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENEE ST JUSTE CPM

Provider Business Mailing Address
First Line	:	70 BOTTLING WORKS RD
Second Line	:
City	:	PINE BUSH
State	:	NY
Zip	:	12566-5101
Country	:	US
Telephone Number	:	904-887-9924
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 BOTTLING WORKS RD
Second Line	:
City	:	PINE BUSH
State	:	NY
Zip	:	12566-5101
Country	:	US
Telephone Number	:	904-887-9924
Fax Number	:

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

Provider Enumeration Date	:	08/04/2023
Last Update Date	:	12/09/2025

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Directions to “ JENEE ST JUSTE CPM” Practice Location

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