MEDICARE: JILL SCHMIDT ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A-085773	IA

General Provider Information

NPI Number	:	1134200280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL SCHMIDT ARNP

Provider Business Mailing Address
First Line	:	PO BOX 248
Second Line	:
City	:	GRIMES
State	:	IA
Zip	:	50111-0248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	507 14TH ST
Second Line	:
City	:	DALLAS CENTER
State	:	IA
Zip	:	50063-7738
Country	:	US
Telephone Number	:	515-992-3711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/17/2021

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