Healthcare Provider Details

I. General information

NPI: 1437822194
Provider Name (Legal Business Name): JENNIFER MARIE SCHWARTZ DNP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 07/28/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4344 E PRESIDIO ST
MESA AZ
85215-1143
US

IV. Provider business mailing address

4344 E PRESIDIO ST
MESA AZ
85215-1143
US

V. Phone/Fax

Practice location:
  • Phone: 480-834-5111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number259766
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: