Provider Demographics
NPI:1356001358
Name:SCHMIDT, JESSICA LEIGH (RPSGT, CCSH, FACHE)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LEIGH
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RPSGT, CCSH, FACHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4613 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1340
Mailing Address - Country:US
Mailing Address - Phone:443-805-6610
Mailing Address - Fax:
Practice Address - Street 1:4613 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1340
Practice Address - Country:US
Practice Address - Phone:443-805-6610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-19
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date: