Provider Demographics
NPI:1467919696
Name:SCHAEFER, JAMI (A-GNP-C)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1381 HAMILTON DR
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-4233
Mailing Address - Country:US
Mailing Address - Phone:216-904-9998
Mailing Address - Fax:
Practice Address - Street 1:18280 ROYALTON RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-5181
Practice Address - Country:US
Practice Address - Phone:440-210-9966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-24
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSH036143343900000X
OHAPRN.CNP.0032071363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)