Most Relevant Information
Provider Data
| NPI Number: | 1003695214 |
| Provider Name: | JENNIE SCHROEDER APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11028854 |
Most Important Dates
| Enumeration Date: | 09/26/2023 |
| Last Updated: | 11/04/2023 |
Provider Practice Location
3149 BOBCAT VILLAGE CENTER RD
NORTH PORT
FL
342888974
Practice Location Phone/Fax
| Phone: | 9412665629 |
| Fax: |
Provider Mailing Location
3149 BOBCAT VILLAGE CENTER RD
NORTH PORT
FL
342888974
Provider Mailing Phone/Fax
| Phone: | 9412665629 |
| Fax: | 8884984926 |