MRS. Jackie Donceel Squires, CNM
NPI #1386740215 in Bloomington, Indiana
Provider Information
- NPI Number
- 1386740215
- Entity Type
- Individual
- Name
- MRS. Jackie Donceel Squires, CNM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Advanced Practice Midwife
- Credential
- CNM
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 338 S WALNUT ST
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47401-3500
- Phone
- (812) 349-7343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Advanced Practice Midwife |
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