Healthcare Provider Details

I. General information

NPI: 1033432653
Provider Name (Legal Business Name): JENNIFER S SCHULMEIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 OLD CANTON RD
JACKSON MS
39216-4219
US

IV. Provider business mailing address

1010 AIRPARK CENTER DR
NASHVILLE TN
37217-5200
US

V. Phone/Fax

Practice location:
  • Phone: 601-362-9851
  • Fax: 601-982-9025
Mailing address:
  • Phone: 615-221-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberK8974
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number16795
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: