Provider Demographics
NPI:1871961425
Name:SANTOS, JENNIFER E (CNM)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:SANTOS
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 1:1100 WESCOTT DRIVE
Mailing Address - Street 2:STE 105
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822
Mailing Address - Country:US
Mailing Address - Phone:908-788-6469
Mailing Address - Fax:908-788-6483
Practice Address - Street 1:1100 WESCOTT DRIVE
Practice Address - Street 2:STE 105
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-788-6469
Practice Address - Fax:908-788-6483
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00057801176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife