Individual
JENNIE LEE SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1001 N PALESTINE ST, ATHENS, TX 75751
(903) 904-5084
(903) 904-5085
Mailing address
PO BOX 844273, DALLAS, TX 75284-4273
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
452578435006
TRICARE
TX
01
—
598706YR7V
MEDICARE
TX
01
—
8HH255
BCBS
TX
01
—
P01912502
MEDICARE RAIL ROAD
TX
Enumeration date
08/22/2017
Last updated
11/20/2017
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