Provider Demographics
NPI:1871956839
Name:SCHNABEL, JESSICA (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:SCHNABEL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-1104
Mailing Address - Country:US
Mailing Address - Phone:701-361-2382
Mailing Address - Fax:
Practice Address - Street 1:3000 HIGHWAY 10 E
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2515
Practice Address - Country:US
Practice Address - Phone:218-236-1556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122333183500000X
ND5804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist