Healthcare Provider Details

I. General information

NPI: 1386380251
Provider Name (Legal Business Name): JENNA MARIE HEBERT RN, MSN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 N MICHIGAN AVE
SAGINAW MI
48602-4323
US

IV. Provider business mailing address

926 N MICHIGAN AVE
SAGINAW MI
48602-4323
US

V. Phone/Fax

Practice location:
  • Phone: 989-753-8453
  • Fax: 989-755-9983
Mailing address:
  • Phone: 989-753-8453
  • Fax: 989-755-9983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM07759
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: