Provider Demographics
NPI:1326088444
Name:SCHUTZ, JANE W (NP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:W
Last Name:SCHUTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:WILCOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:7 TH PO BOX 3116 FL DN
Mailing Address - Street 2:ERWIN RD
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-681-5354
Mailing Address - Fax:919-681-1916
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:7TH FLOOR
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-681-5354
Practice Address - Fax:919-681-1916
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5003135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC8001Medicare PIN
P31623Medicare UPIN