Provider Demographics
NPI:1700137726
Name:POWELL-TASCHETTI, JENNIFER (CNM)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:POWELL-TASCHETTI
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 1:3 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29617-8144
Mailing Address - Country:US
Mailing Address - Phone:385-216-1283
Mailing Address - Fax:
Practice Address - Street 1:3 VISTA DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-8144
Practice Address - Country:US
Practice Address - Phone:385-216-1283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife