Provider Demographics
NPI:1629144092
Name:HART, JOCELYN ELIZABETH (CNM)
Entity type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:ELIZABETH
Last Name:HART
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:ELIZABETH
Other - Last Name:FINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:3751 WASATCH AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-3633
Mailing Address - Country:US
Mailing Address - Phone:718-753-4715
Mailing Address - Fax:
Practice Address - Street 1:3751 WASATCH AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-3633
Practice Address - Country:US
Practice Address - Phone:310-694-7116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235733367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF001246OtherNEW YORK STATE MIDWIFE LICENSE