Doctor Name: | MRS. JODI LYNN DEWHIRST |
NPI Number: | 1164505004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LM |
License Number: | 0057 |
Business Practice Address: | 919 Chillion Dr Crestline, CA - 92325 |
Business Phone Number: | 9093382483 |
Business Fax Number: | |
Mailing Address: | 919 Chillion Dr, Po Box 4035 CRESTLINE |
State: | CA |
Postal Code: | 92325 |
Phone Number: | 9093382483 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 175M00000X |
License Number: | 0057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Midwife, Lay |
Taxonomy Specialization: | |
Taxonomy Definition: | A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |