Healthcare Provider Details

I. General information

NPI: 1902744857
Provider Name (Legal Business Name): WEST MICHIGAN MIDWIFERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 W NORTON AVE
NORTON SHORES MI
49444-3703
US

IV. Provider business mailing address

453 W NORTON AVE
NORTON SHORES MI
49444-3703
US

V. Phone/Fax

Practice location:
  • Phone: 616-263-1978
  • Fax: 904-592-5267
Mailing address:
  • Phone: 616-263-1978
  • Fax: 904-592-5267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ANN HOLSHOE
Title or Position: MIDWIFE / OWNER
Credential: LM, CPM
Phone: 616-318-1825