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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NURISHA SHAVON JACK CNM
NPI 1306338363
Advanced Practice Midwife in Bowie, MD

Active since June 05, 2018
3903 WOODHAVEN LN, BOWIE, MD 20715(202) 380-6880 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nurisha Shavon Jack Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NURISHA SHAVON JACK CNM (NPI 1306338363) is an individual advanced practice midwife in Bowie, Maryland, licensed in Virginia (0024177805) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1306338363
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameNURISHA SHAVON JACKCredential: CNM
Location Address3903 WOODHAVEN LNBowie, MD 20715-1276
Mailing Address3903 Woodhaven LnBowie, MD 20715-1276 · (202) 380-6880
Phone(202) 380-6880
Sole ProprietorYes
Enumeration DateJune 5, 2018
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1306338363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in VA · 0024177805
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License R191018 (MD)
3903 WOODHAVEN LN, Bowie, MD 20715
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Other Names 1

Other Name (5)Nurisha Shavon Zenebe Cnm

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE YVE COLLECTIVE, LLC
Midwife
3903 WOODHAVEN LN
BOWIE, MD 20715
Prince George's County (202) 380-6880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nurisha Jack's NPI number?

The NPI number for Nurisha Jack is 1306338363. It was assigned to this individual provider in the NPPES registry on June 5, 2018. The provider is also known as Nurisha Shavon Zenebe Cnm.

Where is Nurisha Jack located?

Nurisha Jack practices at 3903 Woodhaven Ln, Bowie, MD 20715. The listed phone number is (202) 380-6880.

What is Nurisha Jack's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

When was this NPI record last updated?

The NPPES record for Nurisha Jack was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.