Provider Demographics
NPI:1992551014
Name:SCHNEIDER, JESSICA (CPD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-2136
Mailing Address - Country:US
Mailing Address - Phone:412-804-8410
Mailing Address - Fax:
Practice Address - Street 1:2728 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-2136
Practice Address - Country:US
Practice Address - Phone:412-804-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA19063374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula