Provider Demographics
NPI:1669293627
Name:TORRES, JENNIFER AMARIS (CPM)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:AMARIS
Last Name:TORRES
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 1:739 DARTMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:WENONAH
Mailing Address - State:NJ
Mailing Address - Zip Code:08090-1005
Mailing Address - Country:US
Mailing Address - Phone:689-777-6313
Mailing Address - Fax:
Practice Address - Street 1:739 DARTMOUTH DR
Practice Address - Street 2:
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090-1005
Practice Address - Country:US
Practice Address - Phone:689-777-6313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCPM24090555176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife