Provider Demographics
NPI:1962620963
Name:SANTANA, JOANNE MARIE (CPM)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MARIE
Last Name:SANTANA
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 MT. JOY RD.
Mailing Address - Street 2:
Mailing Address - City:HAMPSHIRE
Mailing Address - State:TN
Mailing Address - Zip Code:38461
Mailing Address - Country:US
Mailing Address - Phone:931-379-0440
Mailing Address - Fax:
Practice Address - Street 1:198 SECOND RD.
Practice Address - Street 2:
Practice Address - City:SUMMERTOWN
Practice Address - State:TN
Practice Address - Zip Code:38483
Practice Address - Country:US
Practice Address - Phone:931-964-2293
Practice Address - Fax:931-964-2293
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCPM0000000010176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife