Dr. Jaclyn Wisniewski
Independent Medical Examiner
5108 N 22nd St
Ozark
, Missouri 65721-7637
Dr. Jaclyn Wisniewski
Independent Medical Examiner
5108 N 22nd St
Ozark
, Missouri 65721-7637
(501) 339-7267
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Jaclyn Wisniewski
- 3811 S Weller Ave Apt A303
- Springfield, MO
- Zip : 65804-5274
- Phone : (501) 339-7267
Second Address
- Dr. Jaclyn Wisniewski
- 5108 N 22nd St
- Ozark, MO
- Zip : 65721-7637
- Phone : (501) 339-7267
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | 2021029279 | MO |
National Provider Identifier
| NPI | 1235800228 |
|---|---|
| Provider Name | Dr. Jaclyn Wisniewski |
| First Address | Springfield, MO 65804-5274 |
| Second Address | Ozark, MO 65721-7637 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2021 |
| Last Update Date | 21/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.