Provider Demographics
NPI:1508234147
Name:SCHREIBER, JEREMY ABRAHAM (APRN, PMHNP- BC)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:ABRAHAM
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:APRN, PMHNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 BOGGS HILL RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-9100
Mailing Address - Country:US
Mailing Address - Phone:304-374-5603
Mailing Address - Fax:
Practice Address - Street 1:12 ELM TER
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5064
Practice Address - Country:US
Practice Address - Phone:304-905-8695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-14
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV107800363LP0808X
OH18054-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health