Provider Demographics
NPI:1588426241
Name:MIDWIFE JOLENE PLLC
Entity type:Organization
Organization Name:MIDWIFE JOLENE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:512-708-0363
Mailing Address - Street 1:1929 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GUN BARREL CY
Mailing Address - State:TX
Mailing Address - Zip Code:75156-8124
Mailing Address - Country:US
Mailing Address - Phone:512-708-0363
Mailing Address - Fax:
Practice Address - Street 1:415 N GUN BARREL LN
Practice Address - Street 2:
Practice Address - City:GUN BARREL CITY
Practice Address - State:TX
Practice Address - Zip Code:75156-3731
Practice Address - Country:US
Practice Address - Phone:512-708-0363
Practice Address - Fax:903-912-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing