Provider Demographics
NPI:1184506461
Name:SCHOTT, JESSICA LYNN (AGNP-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:SCHOTT
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 ERUSHA DR
Mailing Address - Street 2:
Mailing Address - City:WALFORD
Mailing Address - State:IA
Mailing Address - Zip Code:52351-8019
Mailing Address - Country:US
Mailing Address - Phone:712-240-2779
Mailing Address - Fax:
Practice Address - Street 1:200 7TH AVE SW
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1630
Practice Address - Country:US
Practice Address - Phone:712-240-2779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH185892363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology