Provider Demographics
NPI:1881061190
Name:SCHOONOVER, WILLIAM SIM II (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:SIM
Last Name:SCHOONOVER
Suffix:II
Gender:M
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 1:187 DOVER BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-7667
Mailing Address - Country:US
Mailing Address - Phone:904-771-5655
Mailing Address - Fax:
Practice Address - Street 1:187 DOVER BLUFF DR
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-7667
Practice Address - Country:US
Practice Address - Phone:904-771-5655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9204773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily