Provider Demographics
NPI:1245483155
Name:SCHEEL, JENNIFER LEE (APNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEE
Last Name:SCHEEL
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERSNICKETY PL
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:WI
Mailing Address - Zip Code:53073-3544
Mailing Address - Country:US
Mailing Address - Phone:920-892-3468
Mailing Address - Fax:920-894-5485
Practice Address - Street 1:1 PERSNICKETY PL
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:WI
Practice Address - Zip Code:53073-3544
Practice Address - Country:US
Practice Address - Phone:920-892-3468
Practice Address - Fax:920-894-5485
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI354933363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily