Healthcare Provider Details

I. General information

NPI: 1619664430
Provider Name (Legal Business Name): JEWELIA CHEVALIER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 MCGREGOR ST STE 204
MANCHESTER NH
03102-3733
US

IV. Provider business mailing address

88 MCGREGOR ST STE 204
MANCHESTER NH
03102-3733
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-6661
  • Fax: 603-663-7996
Mailing address:
  • Phone: 603-663-6661
  • Fax: 603-663-7996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010731
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW010731
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number061036-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: