Provider Demographics
NPI:1770239766
Name:KARNOFF, JACLYN (CPM)
Entity Type:Individual
Prefix:MS
First Name:JACLYN
Middle Name:
Last Name:KARNOFF
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:NORTH MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02059-0289
Mailing Address - Country:US
Mailing Address - Phone:570-650-9311
Mailing Address - Fax:
Practice Address - Street 1:120 SPRING ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-5823
Practice Address - Country:US
Practice Address - Phone:570-650-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty