Healthcare Provider Details

I. General information

NPI: 1487089892
Provider Name (Legal Business Name): JADE SCHLIE ASTORGA CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17273 STATE ROUTE 104, CHILLICOTHE, OH 45601
CHILLICOTHEE OH
45601
US

IV. Provider business mailing address

17273 STATE ROUTE 104, CHILLICOTHE, OH 45601
CHILLICOTHEE OH
45601
US

V. Phone/Fax

Practice location:
  • Phone: 740-773-1141
  • Fax:
Mailing address:
  • Phone: 740-773-1141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.14550
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.14550
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: