Provider Demographics
NPI:1942599485
Name:SCHUMAN, JESSICA LOUISE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:LOUISE
Last Name:SCHUMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 COLONY PARK PL
Mailing Address - Street 2:APT E
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1965
Mailing Address - Country:US
Mailing Address - Phone:330-814-5165
Mailing Address - Fax:
Practice Address - Street 1:2535 COLONY PARK PL
Practice Address - Street 2:APT E
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1965
Practice Address - Country:US
Practice Address - Phone:330-814-5165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH114081-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse