Provider Demographics
NPI:1790581304
Name:SCHNEIDER, JENNIFER JEANNE (RD, IBCLC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JEANNE
Last Name:SCHNEIDER
Suffix:
Gender:
Credentials:RD, IBCLC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:JEANNE
Other - Last Name:GEORGESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10524 ALLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4708
Mailing Address - Country:US
Mailing Address - Phone:303-829-4242
Mailing Address - Fax:303-678-6125
Practice Address - Street 1:515 COFFMAN ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5455
Practice Address - Country:US
Practice Address - Phone:303-678-6142
Practice Address - Fax:303-678-6125
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN