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NPI Code Detail

MEDICARE: JESSICA J SCHULTZ FNP

MEDICARE:   JESSICA J SCHULTZ  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner3018900KY

General Provider Information

NPI Number : 1174959332
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA J SCHULTZ FNP
Provider Business Mailing Address
First Line : PO BOX 909
Second Line :
City : LOUISVILLE
State : KY
Zip : 40201-0909
Country : US
Telephone Number : 502-588-0325
Fax Number :
Provider Business Practice Location Address
First Line : 6801 DIXIE HWY STE 133
Second Line :
City : LOUISVILLE
State : KY
Zip : 40258-3952
Country : US
Telephone Number : 502-212-9647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2013
Last Update Date : 03/14/2023

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Directions to “ JESSICA J SCHULTZ FNP” Practice Location

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