Healthcare Provider Details

I. General information

NPI: 1730535881
Provider Name (Legal Business Name): JENNIFER GOLDBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 DAUGHERTY DR STE 401 SUITE 105
MONROEVILLE PA
15146-2749
US

IV. Provider business mailing address

1041 MORGANTON BLVD SW STE 200
LENOIR NC
28645-5605
US

V. Phone/Fax

Practice location:
  • Phone: 412-372-0645
  • Fax:
Mailing address:
  • Phone: 828-261-7266
  • Fax: 828-221-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number301
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010406
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: