Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 306920 | NY |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 306920 | NY |
NPI | 1649688540 |
---|---|
Provider Name | Jennifer Elizabeth Schmidt |
First Address | Albany, NY 12212-4890 |
Second Address | Albany, NY 12205-3809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2014 |
Last Update Date | 09/01/2020 |