MEDICARE: JODI LYNN SCHWAB RN, BSN, MSN, FNP-C

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	APRN.CNP.021387	OH

General Provider Information

NPI Number	:	1710498308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI LYNN SCHWAB RN, BSN, MSN, FNP-C

Provider Business Mailing Address
First Line	:	120 W MAIN ST
Second Line	:
City	:	NEW WASHINGTON
State	:	OH
Zip	:	44854-9431
Country	:	US
Telephone Number	:	419-492-2200
Fax Number	:	419-492-2100

Provider Business Practice Location Address
First Line	:	120 W MAIN ST
Second Line	:
City	:	NEW WASHINGTON
State	:	OH
Zip	:	44854-9431
Country	:	US
Telephone Number	:	419-492-2200
Fax Number	:	419-492-2100

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

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	03/11/2026

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