Healthcare Provider Details

I. General information

NPI: 1801293436
Provider Name (Legal Business Name): JODIE L SCHNEITMAN AG-ACNP, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2014
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 MCFARLAND ST
MORRISTOWN TN
37814-3977
US

IV. Provider business mailing address

705 MCFARLAND ST
MORRISTOWN TN
37814-3977
US

V. Phone/Fax

Practice location:
  • Phone: 423-492-5450
  • Fax: 865-374-2095
Mailing address:
  • Phone: 423-492-5450
  • Fax: 865-374-2095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number19350
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number19350
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: