Provider Demographics
NPI:1649724402
Name:SCHWARTZ, JEANNE THERESE (RN, BS)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:THERESE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:RN, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WOOD STONE RISE
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3668
Mailing Address - Country:US
Mailing Address - Phone:585-899-9103
Mailing Address - Fax:
Practice Address - Street 1:11 WOOD STONE RISE
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3668
Practice Address - Country:US
Practice Address - Phone:585-899-9103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY641803163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse