Provider Demographics
NPI:1992970222
Name:SCHMIDT, JENNIFER LEDOUX
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEDOUX
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15627 W 80TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1864
Mailing Address - Country:US
Mailing Address - Phone:913-541-8096
Mailing Address - Fax:
Practice Address - Street 1:8027 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-1828
Practice Address - Country:US
Practice Address - Phone:913-894-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide