Healthcare Provider Details

I. General information

NPI: 1023827193
Provider Name (Legal Business Name): JENNIFER SCHERMERHORN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 ANDERSON AVE
BOWLING GREEN VA
22427-9401
US

IV. Provider business mailing address

509 SAMPSON RD
DAHLGREN VA
22448-3028
US

V. Phone/Fax

Practice location:
  • Phone: 361-563-4065
  • Fax: 804-633-7309
Mailing address:
  • Phone: 804-742-2875
  • Fax: 804-633-7309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNUR-APRN-LIC-259047
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: