Provider Demographics
NPI:1780321844
Name:SCHULTZ, JESSICA PAIGE (CRNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:PAIGE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:PAIGE
Other - Last Name:HYDOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2566 HAYMAKER RD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3517
Mailing Address - Country:US
Mailing Address - Phone:412-858-7088
Mailing Address - Fax:412-858-7016
Practice Address - Street 1:2566 HAYMAKER RD STE 203
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3554
Practice Address - Country:US
Practice Address - Phone:412-858-7088
Practice Address - Fax:412-858-7016
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily