IndividualActive
Kellyanne Jaber, LM, CPM
NPI 1053808592 · Midwife · Jacksonville, FL
Provider details
- NPI number
- 1053808592
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- LM, CPM
- Sex
- Female
- Sole proprietor
- No
- License
- MW361 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7117 Blache Ct
Jacksonville, FL 32210-4868
Phone: (904) 990-3619
Fax: (904) 562-3402
Street-level locationGet directions
Mailing address
1715 Spring Star Ct
Jacksonville, FL 32221-7638
Registry dates
- Enumerated
- 2018-04-19
- Last updated
- 2018-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.