Provider Demographics
NPI:1144890773
Name:SCHIFFER, SCARLETT ROSE (DNP, APRN)
Entity type:Individual
Prefix:DR
First Name:SCARLETT
Middle Name:ROSE
Last Name:SCHIFFER
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PROFESSIONAL DR STE 400
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-7231
Mailing Address - Country:US
Mailing Address - Phone:904-273-6286
Mailing Address - Fax:
Practice Address - Street 1:150 PROFESSIONAL DR STE 400
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-7231
Practice Address - Country:US
Practice Address - Phone:904-273-6286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-27
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013324363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner