Healthcare Provider Details

I. General information

NPI: 1639007289
Provider Name (Legal Business Name): RADIANT MIDWIFERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6817 SOUTHPOINT PKWY STE 2102
JACKSONVILLE FL
32216-6299
US

IV. Provider business mailing address

6817 SOUTHPOINT PKWY STE 2102
JACKSONVILLE FL
32216-6299
US

V. Phone/Fax

Practice location:
  • Phone: 904-712-1502
  • Fax: 904-929-1502
Mailing address:
  • Phone: 904-712-1502
  • Fax: 904-929-1502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY DEW SCHAFFER
Title or Position: LICENSED MIDWIFE
Credential: LM, CPM
Phone: 904-712-1502