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

Nurisha Shavon Jack, CNM

Individual provider Advanced Practice Midwife · NPI 1306338363

Nurisha Shavon Jack, CNM is an Advanced Practice Midwife in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

3903 Woodhaven Ln
Bowie, MD 20715-1276
Phone: (202) 380-6880
Show map & directions

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

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 0024177805 (VA)
Midwife Taxonomy 176B00000X · Licence R191018 (MD)

Record details

NPI number1306338363
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorYes
NPI enumeratedJune 5, 2018
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026