Most Relevant Information
Provider Data
| NPI Number: | 1003251935 |
| Provider Name: | JESSICA MARIE COSTA MSN,CNM |
| Entity Type: | Individual |
| Taxonomy Code: | 367A00000X |
| Specialty: | Advanced Practice Midwife |
| License Number: | COA.14487-NM |
Most Important Dates
| Enumeration Date: | 05/06/2013 |
| Last Updated: | 09/12/2013 |
Provider Practice Location
123 3RD ST SE
MASSILLON
OH
446466606
Practice Location Phone/Fax
| Phone: | 3308322229 |
| Fax: |
Provider Mailing Location
123 3RD ST SE
MASSILLON
OH
446466606
Provider Mailing Phone/Fax
| Phone: | 3308322229 |
| Fax: |