Jennifer Deoliveira-souza, CNM is a
Advanced Practice Midwife based in Medford, Massachusetts. Jennifer Deoliveira-souza is licensed to practice in Massachusetts (license number CNM05848) and her current practice location is
310 Malden St, Medford, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 710-7989.
NPI number for Jennifer Deoliveira-souza is 1629619523 and her current mailing address is 310 Malden St, Medford, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629619523.
Provider's Profile
Full Name | Jennifer Deoliveira-souza |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 310 Malden St, Medford, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629619523
- Provider Enumeration Date: 10/01/2019
- Last Update Date: 10/09/2019
Medical Identifiers
Medical identifiers for Jennifer Deoliveira-souza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629619523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN2296735 (Massachusetts) | Secondary |
367A00000X | Advanced Practice Midwife | CNM05848 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Deoliveira-souza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Deoliveira-souza, CNM 310 Malden St, Medford, MA 02155-2819 Ph: (617) 710-7989 | Jennifer Deoliveira-souza, CNM 310 Malden St, Medford, MA 02155-2819 Ph: (617) 710-7989 |
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