Healthcare Provider Details

I. General information

NPI: 1790783645
Provider Name (Legal Business Name): KATHLEEN JONES MCWILLIAMS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHLEEN A JONES-MCWILLIAMS

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 CAMBRIDGE ST 5TH FL, MATERNAL CHILD HEALTH BLDG
BRIGHTON MA
02135
US

IV. Provider business mailing address

960 MASSACHUSETTS AVE FL 2
BOSTON MA
02118
US

V. Phone/Fax

Practice location:
  • Phone: 617-562-7007
  • Fax: 617-562-7913
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN156043
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: