Individual
LISA LYN SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP BC
Contact information
Practice address
4844 DEER LAKE DR W STE 101, JACKSONVILLE, FL 32246-4406
(904) 376-3800
(904) 390-7431
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704163754
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9444692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021517900
—
FL
Enumeration date
09/28/2006
Last updated
08/05/2022
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