Healthcare Provider Details

I. General information

NPI: 1669326211
Provider Name (Legal Business Name): SOPHIA E SCHULMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 VIA ROYALE APT 2309
JUPITER FL
33458-7087
US

IV. Provider business mailing address

2300 VIA ROYALE APT 2309
JUPITER FL
33458-7087
US

V. Phone/Fax

Practice location:
  • Phone: 609-672-1374
  • Fax:
Mailing address:
  • Phone: 609-672-1374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11047258
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: