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General NPI Number Information
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NPI Number | 1649697053
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Entity Type | Organization
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Legal Business Name | JEANANN SCHWARK, MS, FNP-C, PLLC
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 10615 N HAYDEN RD # C-100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5734
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Country | US
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Telephone | 480-825-7941
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Fax | 480-825-7945
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Provider Business Mailing Address
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Address Line | 10615 N HAYDEN RD # C-100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5734
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Country | US
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Telephone | 480-825-7941
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Fax | 480-825-7945
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Authorized Official
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Title or Position | OWNER
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Name | MS. JEANANN SCHWARK
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Credential | MS, FNP-C
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Telephone | 480-825-7941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN 049446 AP1637
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | RN 049446 AP1637
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN 049446 AP1637
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License Number State | AZ
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