MEDICARE: MICHAEL SCHEPEMAKER FNP

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	904470	MS

General Provider Information

NPI Number	:	1952993743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SCHEPEMAKER FNP

Provider Business Mailing Address
First Line	:	407 SUMRALL RD STE 1
Second Line	:
City	:	COLUMBIA
State	:	MS
Zip	:	39429-9550
Country	:	US
Telephone Number	:	601-345-5424
Fax Number	:	601-519-0772

Provider Business Practice Location Address
First Line	:	407 SUMRALL RD STE 1
Second Line	:
City	:	COLUMBIA
State	:	MS
Zip	:	39429-9550
Country	:	US
Telephone Number	:	601-345-5424
Fax Number	:	601-519-0772

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

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	03/12/2026

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