Provider Demographics
NPI:1639310337
Name:CAHOON, JENNIFER A (MAC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:A
Last Name:CAHOON
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 A ST UNIT 809
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-1648
Mailing Address - Country:US
Mailing Address - Phone:617-721-3126
Mailing Address - Fax:
Practice Address - Street 1:311 SUMMER ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-1723
Practice Address - Country:US
Practice Address - Phone:617-721-3126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
MA238013171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No374J00000XNursing Service Related ProvidersDoula