Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mrs. Jennifer Elaine Nydam, RN, CNM

Individual provider Advanced Practice Midwife · NPI 1407958432

Mrs. Jennifer Elaine Nydam, RN, CNM is registered under 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.

See every abbreviation used in this directory →

Practice location Address checks out

Corner Of Route N12 And N7
Ft. Defiance, AZ 86504-0649
Phone: (928) 729-8000
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 773 (NM)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 1683 (CA)

Record details

NPI number1407958432
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CNM
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESSeptember 26, 2026
Certification dateSeptember 26, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
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

Colleagues at The Fort Defiance Indian Hospital Board, Incorporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 146 clinicians in the practice; 12 are shown here.