Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jennette Marie Hollister, CNM

Individual provider Midwife · NPI 1164195699

Mrs. Jennette Marie Hollister, CNM is a Certified Nurse Midwife (CNM) in Rockford, Illinois. Qualified in 2021, 5 years ago. Practices with Crusaders Central Clinic Association, a 33-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X

Record details

NPI number1164195699
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Crusaders Central Clinic Association — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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