Healthcare Provider Details

I. General information

NPI: 1609508084
Provider Name (Legal Business Name): LAUREN JEAN SCHAEFFER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2022
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 MARVIN HANCOCK DR
JASPER TX
75951
US

IV. Provider business mailing address

4747 BELLAIRE BLVD STE 225
BELLAIRE TX
77401-4532
US

V. Phone/Fax

Practice location:
  • Phone: 409-600-2003
  • Fax: 832-753-7548
Mailing address:
  • Phone: 832-753-7546
  • Fax: 832-753-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1087119
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number940452
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: