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Contact Information

JENESSA PAYANO STARK, CNM, CPM
167 MAIN ST
TUBA CITY, AZ86045
 Phone: 866-976-5941
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for JENESSA PAYANO STARK · (Female)

NPI Number 1821428517
Status Active
Credentials CNM, CPM
Entity Individual
Enumeration date 11/18/2013
Last updated 08/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1036
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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