Provider Demographics
NPI:1295397263
Name:SCHUMACHER, ALLYSON JO (ARNP)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:JO
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6573 A1A S
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-7504
Mailing Address - Country:US
Mailing Address - Phone:904-342-7363
Mailing Address - Fax:904-342-7367
Practice Address - Street 1:6573 A1A S
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-7504
Practice Address - Country:US
Practice Address - Phone:904-342-7363
Practice Address - Fax:904-342-7367
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11002661207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine