Individual
MS. JEANALYN SUBIDO SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
12774 BOENKER LN, BRIDGETON, MO 63044-2436
(314) 291-7997
(314) 739-1471
Mailing address
PO BOX 776874, CHICAGO, IL 60677-6874
(314) 291-7997
(314) 739-1471
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2017014479
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420048563
—
MO
Enumeration date
10/22/2016
Last updated
01/09/2026
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