Provider Demographics
NPI:1780892059
Name:SCHNEIDER, JENNIFER STEWART (NP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:STEWART
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7007 WYOMING BLVD NE STE F1
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3983
Mailing Address - Country:US
Mailing Address - Phone:505-807-3086
Mailing Address - Fax:505-807-3086
Practice Address - Street 1:7007 WYOMING BLVD NE STE F1
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3983
Practice Address - Country:US
Practice Address - Phone:505-807-3086
Practice Address - Fax:505-807-3086
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF401702-1363LP0808X
NMCNP-03262363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health