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Individual

MS. JENA C SCHMOOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN

Contact information

Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-3929
Mailing address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-3929

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
41350084
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041350084
MEDICARE UPIN, MEDICARE PIN, MEDICARE OSCAR/CERTIFICATION, MEDICARE NSC, MEDICAI
Enumeration date
02/06/2019
Last updated
02/06/2019
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