Provider Demographics
NPI:1538111430
Name:SCHNEIDER, JACQUELINE ANN (RNC ANP)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:ANN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:RNC ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BUTTERFLY LN
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676
Mailing Address - Country:US
Mailing Address - Phone:512-847-8744
Mailing Address - Fax:
Practice Address - Street 1:1701 W BEN WHITE BLVD STE 100B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7667
Practice Address - Country:US
Practice Address - Phone:512-440-1441
Practice Address - Fax:512-440-1448
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX573546363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N7192OtherBCBS TX
TXRN573546OtherRN LICENSE
TXRN573546OtherRN LICENSE
Q06982Medicare UPIN