MEDICARE: JENNIFER DRAWBRIDGE C.N.M., R.N.

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	044302	ME

General Provider Information

NPI Number	:	1699753749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER DRAWBRIDGE C.N.M., R.N.

Provider Business Mailing Address
First Line	:	202 MASALIN RD
Second Line	:
City	:	LINCOLNVILLE
State	:	ME
Zip	:	04849-5542
Country	:	US
Telephone Number	:	207-763-4665
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 WHITE ST
Second Line	:
City	:	ROCKLAND
State	:	ME
Zip	:	04841-2978
Country	:	US
Telephone Number	:	207-594-3114
Fax Number	:

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

Provider Enumeration Date	:	01/08/2006
Last Update Date	:	11/26/2012

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