Healthcare Provider Details

I. General information

NPI: 1245662576
Provider Name (Legal Business Name): JONATHAN KAUFMAN SCHER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4055 VALLEY VIEW LN STE 400
DALLAS TX
75244-5071
US

IV. Provider business mailing address

220 SWIFT ST
SANTA CRUZ CA
95060-6226
US

V. Phone/Fax

Practice location:
  • Phone: 855-319-4448
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN.0993040-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN.0993040-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN.0993040-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: