Organization
COMMUNITY CARE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MICHELLE SCHMIDT CFNP (PRACTITIONER)
(703) 365-0227
Entity
Organization
Contact information
Practice address
9444 TANEY RD, 103, MANASSAS, VA 20110-5933
(703) 365-0227
(703) 365-0332
Mailing address
9430 FORESTWOOD LN, 100, MANASSAS, VA 20110-4753
(703) 365-0227
(703) 365-0332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166627
VA
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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