Provider Demographics
NPI:1487027025
Name:SCHNEIDER, JESSICA LYNN (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LYNN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:WHNP
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1110 HIGHLANDS PLAZA DR E STE 280
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1351
Mailing Address - Country:US
Mailing Address - Phone:314-286-2620
Mailing Address - Fax:314-286-2621
Practice Address - Street 1:1110 HIGHLANDS PLAZA DR E STE 280
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1351
Practice Address - Country:US
Practice Address - Phone:314-286-2620
Practice Address - Fax:314-286-2621
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015036193363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily