Provider Demographics
NPI:1245726447
Name:SCHAFER, JENNIFER RENEE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:RENEE
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 CONEJO DR
Mailing Address - Street 2:873
Mailing Address - City:RAMAH
Mailing Address - State:NM
Mailing Address - Zip Code:87321
Mailing Address - Country:US
Mailing Address - Phone:240-256-0158
Mailing Address - Fax:
Practice Address - Street 1:7 BIA ROUTE 140
Practice Address - Street 2:
Practice Address - City:PINEHILL
Practice Address - State:NM
Practice Address - Zip Code:87357-0240
Practice Address - Country:US
Practice Address - Phone:505-775-3271
Practice Address - Fax:505-775-3633
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM74299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily