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Jessica Mills, APRN, CNM, Owner

Family Focused

Jessica has always been inspired by the strength of women and the miracle of birth. After finishing her Bachelors in Nursing over 14 years ago she went on to become an Advanced Practice Nurse Practitioner and complete her Masters in Nurse-Midwifery at Frontier Nursing University, the birthplace of nurse-midwifery in the United States and the #1 rated nurse midwifery program in the US, achieving the highest level of credentialing available to midwives. She is proud to serve women and families throughout Southern New Hampshire and Northern Massachusetts. 

Every growing family deserves to have someone there to guide and assist them in making educated choices about their pregnancy, and remind them that they can trust the strength of their bodies during this time. She strives to provide unbiased information and emotional support. Jessica is also a breech specialist and supports families both locally and out of state in vaginal breech birth. 

Jessica has been happily married to her high school sweetheart for over 22 years. Together they have 5 beautiful children and enjoy homesteading, homeschooling and fostering children in the community. They are active members of their local church and enjoy community outreach as well. 

In 2023 Jessica will be reducing her time spent on call for births in order to focus her efforts on the broader issue of increasing access to midwifery care in New Hampshire and beyond. 

 
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Karina Burton, Certified Professional Midwife

Advocate for All

Karina has the drive within her to help. educate and empower pregnant people. She hopes to encourage them to ask questions and inform them of the options available to them. She believes the intimacy of birthing and being unapologetically human is powerful. Her passion for midwifery began after she birthed her own two children.


Karina graduated from Birthwise Midwifery School in Maine and is putting down roots as a Certified Professional Midwife in NH. Karina has been with our practice since 2019.


 She has been married for over twelve years, they have two wonderful children together and a rescue dog. She enjoys time spent with her family, weight lifting, gardening, homesteading and just generally being outside in beautiful New Hampshire!  

 
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Bianca Cothen, 
Certified Professional Midwife

Bianca is a graduate from Birthwise Midwifery School in Maine and resides in Hollis, NH. Before attending Midwifery School, Bianca attended school for a bachelor's degree in biology and worked as a nurse assistant at Massachusetts General Hospital, interested in pursuing a career in health care.


After being in the system for some time it was clear that a life in institutionalized health care was not what the heart wanted. Bianca was called to the role of supporting the birth process as a birth doula and knew she had found her passion. Growing into the role of a birth doula Bianca found that her interests in the birth process continued to expand. Becoming a homebirth midwife fulfills a long time desire to work in a holistic fashion with a client through such a transitional time of life.

Bianca believes that there is an immense energy within the pregnancy and birth process that allows for personal growth and strength. A supported pregnancy and birth environment facilitates a space for positive outcomes. Regardless of how you birth, having a safe supportive and personalized team behind you is the key for a lasting empowering experience.

Bianca is excited, motivated and honored to learn from, listen to and work with the individuals within our community. 

Bianca lives with her husband, three daughters and step son where they are building their homestead and growing flowers.

 
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Grace Palmer, RN
Birth Assistant

Concierge At-Home Nursing Care

Grace has been a nurse for over 19 years, with many of those years spent as an experienced labor and delivery nurse. She brings a wealth of knowledge and experience to every birth working to assist the newborn as they transition of life outside the womb. With a strong focus on immediate skin to skin and lactation support Grace is a welcome addition to the team and has been with us since 2019. She has two boys of her own, both of whom were born out-of-hospital. Jessica was honored to be her midwife in her last pregnancy. Grace also supports our community through outreach as an ultrasound tech with Real Options NH. She enjoys gardening, serving her local church, crafting and is a New Hampshire local.

 
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Mary Wilson, RN
Birth Assistant

Skilled Support

Mary has long since has an interest in midwifery and had begun her training in this area before taking time to raise her babies whom are now grown and having babies of their own (including one with our practice). We are delighted to have her back in the birth world as a trained birth assistant.

With a warm heart and a calming energy she is welcome presence at any birth. 

She keeps busy on her days off watching her grand babies and hobby farming.

 
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Jen Perkinson
Office Assistant

A Warm Welcome

Jen joined our practice in 2022 and has proved herself a perfect fit. She is a warm and inviting welcome when you enter our doors while being organized and keeping everything running smoothly. She has taken over all the scheduling and makes the most delicious baked goods! She has a passion for educating pregnant women on their options and is great supporter of midwifery care. 

When not at the office she is busy homeschooling her two girls, 8 & 11 - both of whom were born out of hospital. She met her husband in kindergarten and together they enjoy traveling and taking family adventures. She also enjoys hiking, the great outdoors, photography and (our favorite) baking!

 
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Katherine
Student midwife

The Next Generation of Midwifery

Katherine is a student from the National College of Midwifery. She is perusing midwifery on a part-time basis and will be in the office shadowing with Jessica. All clients have the option of having Katherine learn through their care as a way to grow more midwives for our community! 

Katherine lives in the Manchester area with her long time boyfriend and their dog.