Provider Demographics
NPI:1841955036
Name:HUNLEY-CONWAY, JENNIFER RAE (CPM)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RAE
Last Name:HUNLEY-CONWAY
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:RAE
Other - Last Name:CONWAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPM
Mailing Address - Street 1:301 TINDAL RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-2432
Mailing Address - Country:US
Mailing Address - Phone:865-631-7449
Mailing Address - Fax:
Practice Address - Street 1:301B TINDAL RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-2432
Practice Address - Country:US
Practice Address - Phone:865-631-7449
Practice Address - Fax:864-641-1320
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
SCLMW-0114176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
No374J00000XNursing Service Related ProvidersDoula