Provider Demographics
NPI:1326225988
Name:HITCH, JANE MARTIN (MSN, CNM)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:MARTIN
Last Name:HITCH
Suffix:
Gender:F
Credentials:MSN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 TARRYTOWN MALL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4515
Mailing Address - Country:US
Mailing Address - Phone:713-899-1064
Mailing Address - Fax:
Practice Address - Street 1:2501 TARRYTOWN MALL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4515
Practice Address - Country:US
Practice Address - Phone:713-899-1064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123195367A00000X
IL209010495367A00000X
COAPN.0992391-CNM367A00000X
MS899574367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife