Healthcare Provider Details

I. General information

NPI: 1841112869
Provider Name (Legal Business Name): JENNIFER DODD CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2291 EVELYN BYRD AVE
HARRISONBURG VA
22801-5424
US

IV. Provider business mailing address

501 COLLEGE VIEW DR
BRIDGEWATER VA
22812-3526
US

V. Phone/Fax

Practice location:
  • Phone: 540-534-6335
  • Fax:
Mailing address:
  • Phone: 704-323-9297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024198226
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: