Provider Demographics
NPI:1700868320
Name:SCHMIDT, JENNIFER (CFNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13775 DEACONS WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-5883
Mailing Address - Country:US
Mailing Address - Phone:703-217-3386
Mailing Address - Fax:
Practice Address - Street 1:9430 FORESTWOOD LN
Practice Address - Street 2:SUITE #100
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4753
Practice Address - Country:US
Practice Address - Phone:703-365-0227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily