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NPI Code Detail

MEDICARE: JODY BRENNAN CNM

MEDICARE: JODY BRENNAN 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
1367A00000XAdvanced Practice MidwifeNM06580OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891798187
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODY BRENNAN CNM
Provider Business Mailing Address
First Line : 4685 FOREST AVE
Second Line : STE C
City : CINCINNATI
State : OH
Zip : 45212-3359
Country : US
Telephone Number : 513-584-2230
Fax Number :
Provider Business Practice Location Address
First Line : 234 GOODMAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2364
Country : US
Telephone Number : 513-584-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 10/03/2017

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Directions to “ JODY BRENNAN CNM” Practice Location

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