Healthcare Provider Details

I. General information

NPI: 1194968735
Provider Name (Legal Business Name): MELISSA RENEE SCHUMPERT APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7119 LANGLEY ST
MILTON FL
32570-6105
US

IV. Provider business mailing address

7119 LANGLEY ST
MILTON FL
32570-6105
US

V. Phone/Fax

Practice location:
  • Phone: 850-623-7508
  • Fax:
Mailing address:
  • Phone: 508-623-7551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number146630
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9281390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: