Provider Demographics
NPI:1710498308
Name:SCHWAB, JODI LYNN (RN, BSN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:LYNN
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:RN, BSN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:521 N SANDUSKY ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:OH
Mailing Address - Zip Code:44811-1180
Mailing Address - Country:US
Mailing Address - Phone:419-483-6267
Mailing Address - Fax:419-668-0452
Practice Address - Street 1:521 N SANDUSKY ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:OH
Practice Address - Zip Code:44811-1180
Practice Address - Country:US
Practice Address - Phone:419-483-6267
Practice Address - Fax:419-668-0452
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021387363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner