| Ms Jennifer Short, CNM | |
|
300 2nd Ave, Long Branch, NJ 07740-6303 | |
| (732) 222-5200 | |
| Not Available |
| Full Name | Ms Jennifer Short |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 300 2nd Ave, Long Branch, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821450677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 25ME00059201 (New Jersey) | Primary |
| Entity Name | Visiting Nurse Association of Central Jersey Community Health Center I |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841240561 PECOS PAC ID: 1456250679 Enrollment ID: O20040107000585 |
| Entity Name | Lifeline Medical Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821041617 PECOS PAC ID: 1456332170 Enrollment ID: O20040528000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Short, CNM 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: Not Available | Ms Jennifer Short, CNM 300 2nd Ave, Long Branch, NJ 07740-6303 Ph: (732) 222-5200 |
Chelsea Helen Masler, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 80 Pavilion Ave, Long Branch, NJ 07740 Phone: 732-963-0114 |