Healthcare Provider Details
I. General information
NPI: 1801189659
Provider Name (Legal Business Name): JESSICA LYNN SCHUMAKER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/25/2011
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA SC
29203-6859
US
IV. Provider business mailing address
232 WHITE WATER DR
CHAPIN SC
29036-7200
US
V. Phone/Fax
- Phone: 803-434-7940
- Fax: 803-434-2262
- Phone: 239-785-7715
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | APRN9247656 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 17845 |
| License Number State | SC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 383596 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: