Provider Demographics
NPI:1487342481
Name:SCHMITT, JILL MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:MARIE
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20072 SCENIC RD
Mailing Address - Street 2:
Mailing Address - City:WAUCOMA
Mailing Address - State:IA
Mailing Address - Zip Code:52171-7159
Mailing Address - Country:US
Mailing Address - Phone:563-380-4481
Mailing Address - Fax:
Practice Address - Street 1:312 9TH ST SW
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677-2929
Practice Address - Country:US
Practice Address - Phone:319-352-4120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA174070363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily