Provider Demographics
NPI:1699959098
Name:RECTOR, JENNIFER LYNN (LM, CPM)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:RECTOR
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3814
Mailing Address - Country:US
Mailing Address - Phone:757-472-2936
Mailing Address - Fax:757-257-0086
Practice Address - Street 1:321 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-3814
Practice Address - Country:US
Practice Address - Phone:757-472-2936
Practice Address - Fax:757-257-0086
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000031176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife