Provider Demographics
NPI:1710216767
Name:SCHULTE, JESSICA R (DOM)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:R
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:905 COUNTRY CLUB DR. SE
Mailing Address - Street 2:APT K
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124
Mailing Address - Country:US
Mailing Address - Phone:505-471-5006
Mailing Address - Fax:
Practice Address - Street 1:3 HOMESTEADS RD STE F
Practice Address - Street 2:
Practice Address - City:PLACITAS
Practice Address - State:NM
Practice Address - Zip Code:87043-9229
Practice Address - Country:US
Practice Address - Phone:505-401-7738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDOM1129171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist