Provider Demographics
NPI:1235832676
Name:JANKOWSKI-SCHNECKENBURGER, KATIE JO (PA)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:JO
Last Name:JANKOWSKI-SCHNECKENBURGER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3964 MARSH CREEK LN
Mailing Address - Street 2:
Mailing Address - City:ROOTSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44272-9280
Mailing Address - Country:US
Mailing Address - Phone:330-931-7479
Mailing Address - Fax:
Practice Address - Street 1:1972 CLARK AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-3929
Practice Address - Country:US
Practice Address - Phone:330-931-7479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant