Provider Demographics
NPI:1508344342
Name:SCHIRO, JENNIFER (NP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SCHIRO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 FIRETHORN TRL
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-1623
Mailing Address - Country:US
Mailing Address - Phone:615-419-3006
Mailing Address - Fax:615-823-1899
Practice Address - Street 1:406 FIRETHORN TRL
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-1623
Practice Address - Country:US
Practice Address - Phone:615-419-3006
Practice Address - Fax:615-823-1899
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-03
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000024463363LF0000X
TN150790163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse