Provider Demographics
NPI:1558925545
Name:SCHMIDT, JAMI LYN (RP)
Entity Type:Individual
Prefix:DR
First Name:JAMI
Middle Name:LYN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:NELIGH
Mailing Address - State:NE
Mailing Address - Zip Code:68756-1066
Mailing Address - Country:US
Mailing Address - Phone:402-887-5551
Mailing Address - Fax:402-887-5581
Practice Address - Street 1:108 W 11TH ST
Practice Address - Street 2:
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756-1066
Practice Address - Country:US
Practice Address - Phone:402-887-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist