| NPI | 1265858666 |
|---|---|
| Other Name | HERMAN JEROME SCHANNAULT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP2632452) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2632452) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-17 |