Provider Demographics
NPI:1134800147
Name:WOMEN'S HEALTH & MIDWIFERY- SOUTHERN UTAH
Entity type:Organization
Organization Name:WOMEN'S HEALTH & MIDWIFERY- SOUTHERN UTAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNM/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSI
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:435-865-9222
Mailing Address - Street 1:1303 N MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-9746
Mailing Address - Country:US
Mailing Address - Phone:435-865-9222
Mailing Address - Fax:435-586-1467
Practice Address - Street 1:1303 N MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9746
Practice Address - Country:US
Practice Address - Phone:435-865-9222
Practice Address - Fax:435-586-1467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty