Mrs. Jennifer Elaine Nydam, RN, CNM

Individual provider Advanced Practice Midwife · NPI 1407958432

Mrs. Jennifer Elaine Nydam, RN, CNM is a Certified Nurse Midwife (CNM) in Ft. Defiance, Arizona. Qualified in 2004, 22 years ago. Practices with The Fort Defiance Indian Hospital Board, Incorporation, a 146-clinician group and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying: 22
Licensed in: CA, NM
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

RN — Registered Nurse: A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CNM — Certified Nurse-Midwife: An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

Corner Of Route N12 And N7
Ft. Defiance, AZ 86504-0649
Phone: (928) 729-8000

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary)	Taxonomy 367A00000X · Licence 773 (NM)
Advanced Practice Midwife	Taxonomy 367A00000X · Licence 1683 (CA)

Record details

NPI number	1407958432
Entity type	Individual (Type 1)
Gender	Female
Credentials	RN , CNM
Sole proprietor	No
NPI enumerated	September 1, 2006
Last updated in NPPES	October 16, 2019

Medicare enrollment

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

Medicare specialty	CERTIFIED NURSE MIDWIFE (CNM)
Medical school	OTHER
Graduated	2004 (22 years in practice)
Group practice	The Fort Defiance Indian Hospital Board, Incorporation — 146 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount