Provider Demographics
NPI:1881145225
Name:SCHUMACHER, JEAN (NP-C)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5918 BIRCHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-8422
Mailing Address - Country:US
Mailing Address - Phone:218-343-8506
Mailing Address - Fax:
Practice Address - Street 1:5918 BIRCHWOOD ST.
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-8422
Practice Address - Country:US
Practice Address - Phone:218-343-8506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4844363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily