Provider Demographics
NPI:1427440619
Name:WINDSCHITL, JESSICA B (DO)
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:B
Last Name:WINDSCHITL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:417-347-2525
Mailing Address - Fax:417-347-8991
Practice Address - Street 1:1532 W 32ND ST STE 301
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1639
Practice Address - Country:US
Practice Address - Phone:417-347-2525
Practice Address - Fax:417-347-8991
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2019026485207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program