Provider Demographics
NPI:1972558047
Name:SCHNEIDER, JENNIFER P (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:P
Last Name:SCHNEIDER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:655 N ALVERNON
Mailing Address - Street 2:STE 216 ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-547-4902
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:1500 N WILMOT RD
Practice Address - Street 2:STE B-250 RINCON INTERNAL MEDICINE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-721-7886
Practice Address - Fax:520-290-0596
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ13858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D37594Medicare UPIN