Provider Demographics
NPI:1003434374
Name:WOODWARD, JANE E (CNM)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:WOODWARD
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 1:2854 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-2129
Mailing Address - Country:US
Mailing Address - Phone:203-748-6000
Mailing Address - Fax:
Practice Address - Street 1:2854 S 11TH ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-2129
Practice Address - Country:US
Practice Address - Phone:269-345-6197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.019435367A00000X
IN09000347A367A00000X
CT16.000508367A00000X
MI4704390033367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife