Provider Demographics
NPI:1831996727
Name:DAYLEY, JEANETTE CARDON (CPM)
Entity type:Individual
Prefix:
First Name:JEANETTE
Middle Name:CARDON
Last Name:DAYLEY
Suffix:
Gender:
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 S HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84339-9745
Mailing Address - Country:US
Mailing Address - Phone:435-232-6678
Mailing Address - Fax:
Practice Address - Street 1:3305 S HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84339-9745
Practice Address - Country:US
Practice Address - Phone:435-232-6678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife