Provider Demographics
NPI:1669369518
Name:WISCHMEYER, JEFFREY MARTIN (RN)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:MARTIN
Last Name:WISCHMEYER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4249 SIENA AVE
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-5777
Mailing Address - Country:US
Mailing Address - Phone:636-696-6000
Mailing Address - Fax:
Practice Address - Street 1:4249 SIENA AVE
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-5777
Practice Address - Country:US
Practice Address - Phone:636-696-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program