Healthcare Provider Details

I. General information

NPI: 1609357151
Provider Name (Legal Business Name): JESSICA MARSH SCHMITT CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA MARSH SCHOENLEBER RN

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 CHICAGO AVE
MINNEAPOLIS MN
55404-4518
US

IV. Provider business mailing address

5832 MEADOWVIEW DR
WHITE BEAR TOWNSHIP MN
55110-2287
US

V. Phone/Fax

Practice location:
  • Phone: 952-992-5398
  • Fax:
Mailing address:
  • Phone: 651-357-8431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number6096
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number211926-1
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: