Provider Demographics
NPI:1861457871
Name:MCSWEENEY, JENNIFER A (CNM)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:MCSWEENEY
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 1:173 WORCESTER ST
Mailing Address - Street 2:WOMEN'S HEALTH ASSOCIATES, INC
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5521
Mailing Address - Country:US
Mailing Address - Phone:781-237-0080
Mailing Address - Fax:
Practice Address - Street 1:173 WORCESTER ST
Practice Address - Street 2:WOMEN'S HEALTH ASSOCIATES, INC
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-5521
Practice Address - Country:US
Practice Address - Phone:781-237-0080
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231511176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP18075Medicare UPIN