Doctor Name: | JENNIFER L SCHMIDT |
NPI Number: | 1649577198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 110925 |
Business Practice Address: | 307 Noonan Drive Pacific, MO - 630691118 |
Business Phone Number: | 6362719100 |
Business Fax Number: | 6362576016 |
Mailing Address: | 901 Patients First Dr, WASHINGTON |
State: | MO |
Postal Code: | 630904700 |
Phone Number: | 6362397500 |
Fax Number: | 6362392836 |
NPI Enumeration Date: | 02/18/2011 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 110925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |