Healthcare Provider Details

I. General information

NPI: 1487719241
Provider Name (Legal Business Name): JENNIFER JOYCE CURRIE C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 12/30/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 FLORIDA AVE STE. 101
MODESTO CA
95350-4400
US

IV. Provider business mailing address

1444 FLORIDA AVE STE. 101
MODESTO CA
95350-4400
US

V. Phone/Fax

Practice location:
  • Phone: 209-522-1027
  • Fax: 209-522-7956
Mailing address:
  • Phone: 209-522-1027
  • Fax: 209-522-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM1318
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: