Provider Demographics
NPI:1487719241
Name:CURRIE, JENNIFER JOYCE (CNM)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JOYCE
Last Name:CURRIE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 FLORIDA AVE
Mailing Address - Street 2:STE. 101
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4400
Mailing Address - Country:US
Mailing Address - Phone:209-522-1027
Mailing Address - Fax:209-522-7956
Practice Address - Street 1:1444 FLORIDA AVE
Practice Address - Street 2:STE. 101
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4400
Practice Address - Country:US
Practice Address - Phone:209-522-1027
Practice Address - Fax:209-522-7956
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACNM1318367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife