Healthcare Provider Details

I. General information

NPI: 1770194490
Provider Name (Legal Business Name): JESSICA JORDAN SCHATZ CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 171181
MEMPHIS TN
38187-1181
US

IV. Provider business mailing address

PO BOX 171181
MEMPHIS TN
38187-1181
US

V. Phone/Fax

Practice location:
  • Phone: 901-605-9441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number35878
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11041813
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: