Provider Demographics
NPI:1518121292
Name:JACOBWITZ, JEANNE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:
Last Name:JACOBWITZ
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MADISON AVE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7357
Mailing Address - Country:US
Mailing Address - Phone:973-267-7272
Mailing Address - Fax:973-455-0099
Practice Address - Street 1:101 MADISON AVE
Practice Address - Street 2:SUITE 403
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7357
Practice Address - Country:US
Practice Address - Phone:973-267-7272
Practice Address - Fax:973-455-0099
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00001101367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife