MEDICARE: JACLYNN SHAOLYNN CHEN 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
1	176B00000X	Midwife	002252	NY

General Provider Information

NPI Number	:	1952176612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACLYNN SHAOLYNN CHEN CNM

Provider Business Mailing Address
First Line	:	2649 STRANG BLVD STE 304
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5106
Country	:	US
Telephone Number	:	718-853-5303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2023
Last Update Date	:	02/10/2026

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