Provider Demographics
NPI:1427100056
Name:WALDMAN, JEANNE M (RN CNM)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:M
Last Name:WALDMAN
Suffix:
Gender:F
Credentials:RN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 E PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525-2040
Mailing Address - Country:US
Mailing Address - Phone:609-466-9269
Mailing Address - Fax:
Practice Address - Street 1:437 E STATE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-1501
Practice Address - Country:US
Practice Address - Phone:609-599-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00009001367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife