Healthcare Provider Details

I. General information

NPI: 1568657369
Provider Name (Legal Business Name): JANE E GEMMILL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 11/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 BAY PARK DR
OREGON OH
43616-4920
US

IV. Provider business mailing address

2801 BAY PARK DR
OREGON OH
43616-4920
US

V. Phone/Fax

Practice location:
  • Phone: 419-690-7900
  • Fax:
Mailing address:
  • Phone: 419-690-7736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNM00515
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: