MEDICARE: MRS. JESSICA LEA SCHMALTZ APRN

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	2019016089	MO

General Provider Information

NPI Number	:	1619533981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA LEA SCHMALTZ APRN

Provider Business Mailing Address
First Line	:	2125 BLUESTONE DRIVE
Second Line	:	SUITE B
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303
Country	:	US
Telephone Number	:	636-688-3572
Fax Number	:	888-498-4152

Provider Business Practice Location Address
First Line	:	2125 BLUESTONE DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-6704
Country	:	US
Telephone Number	:	636-272-5856
Fax Number	:

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

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	10/14/2025

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