Healthcare Provider Details

I. General information

NPI: 1639045362
Provider Name (Legal Business Name): JESSICA GWENDOLYN HUTCHIND CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 W LYNCHBURG SALEM TPKE
BEDFORD VA
24523-7202
US

IV. Provider business mailing address

3555 W LYNCHBURG SALEM TPKE
BEDFORD VA
24523-7202
US

V. Phone/Fax

Practice location:
  • Phone: 434-477-6561
  • Fax:
Mailing address:
  • Phone: 434-477-6561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0129000230
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: