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NPI Code Detail

MEDICARE: JENNIFER C. GOBENCION CNM

MEDICARE:   JENNIFER C. GOBENCION  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner25ME00058901NJ
2367A00000XAdvanced Practice Midwife25ME00058901NJ
3367A00000XAdvanced Practice MidwifeMW010841PA

General Provider Information

NPI Number : 1760849426
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER C. GOBENCION CNM
Provider Business Mailing Address
First Line : 40 WAVERLY DR
Second Line :
City : COLUMBUS
State : NJ
Zip : 08022-1350
Country : US
Telephone Number : 201-669-0671
Fax Number :
Provider Business Practice Location Address
First Line : 3331 STREET RD STE 140
Second Line :
City : BENSALEM
State : PA
Zip : 19020-2052
Country : US
Telephone Number : 215-245-8873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 03/17/2025

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Directions to “ JENNIFER C. GOBENCION CNM” Practice Location

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