Healthcare Provider Details

I. General information

NPI: 1952742710
Provider Name (Legal Business Name): JENNIFER LYNN DOOLEY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 CENTRE VIEW BLVD
CRESTVIEW HILLS KY
41017-3477
US

IV. Provider business mailing address

PO BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-331-4665
  • Fax: 859-331-6370
Mailing address:
  • Phone: 859-912-6500
  • Fax: 859-442-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number3008263
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: