Provider Demographics
NPI:1346575735
Name:MOSSHOLDER, JENNIFER A (DOULA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:MOSSHOLDER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 AVA CIR
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-8888
Mailing Address - Country:US
Mailing Address - Phone:610-529-3249
Mailing Address - Fax:610-500-5679
Practice Address - Street 1:110 AVA CIR
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19525-8888
Practice Address - Country:US
Practice Address - Phone:610-529-3249
Practice Address - Fax:610-500-5679
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula