Provider Demographics
NPI:1912743329
Name:SCHMIDT, JENNIFER ANN (IBCLC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 SHELL DR APT 230
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-2075
Mailing Address - Country:US
Mailing Address - Phone:920-717-8132
Mailing Address - Fax:
Practice Address - Street 1:911 SHELL DR
Practice Address - Street 2:APARTMENT 230
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390
Practice Address - Country:US
Practice Address - Phone:920-717-8132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-04
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN