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NPI Code Detail

MEDICARE: BETH RENAE SCHLOMER RN, NNP-BC

MEDICARE: BETH RENAE SCHLOMER RN, NNP-BC
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
1363LN0005XCritical Care Neonatal Nurse PractitionerAPRN11010461FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568070738
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH RENAE SCHLOMER RN, NNP-BC
Provider Business Mailing Address
First Line : 1602 LEWIS LAKE LN
Second Line :
City : MIDDLEBURG
State : FL
Zip : 32068-4174
Country : US
Telephone Number : 719-339-4381
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-202-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2020
Last Update Date : 01/19/2026

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