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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACLYN WINDHAM FNP-C
NPI 1184521916
Nurse Practitioner - Family in Mount Vernon, MO

Active since October 23, 2026
108 S HICKORY ST, MOUNT VERNON, MO 65712(417) 466-4110 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jaclyn Windham Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN WINDHAM FNP-C (NPI 1184521916) is an individual family provider in Mount Vernon, Missouri, licensed in Missouri (2026051005) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1184521916
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN WINDHAMCredential: FNP-C
Location Address108 S HICKORY STMount Vernon, MO 65712-1407
Mailing Address706 Split Rail DrJoplin, MO 64801-7114 · (417) 439-5154
Phone(417) 466-4110
Sole ProprietorNo
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1184521916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2026051005
108 S HICKORY ST, Mount Vernon, MO 65712
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM LEWIS MCKAY DO
Family Medicine
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
TERESA BARR JOLLEY PA-C
Physician Assistant
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
SGOH ACQUISITION INC
Clinic/Center (Rural Health)
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
MALINDA K KENDRICK FNP
Nurse Practitioner (Family)
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
AMANDA J CHAPMAN MSN-NP
Nurse Practitioner (Family)
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110
THOMAS G DOUGLAS NP
Nurse Practitioner (Family)
108 S HICKORY ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Windham's NPI number?

The NPI number for Jaclyn Windham is 1184521916. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Where is Jaclyn Windham located?

Jaclyn Windham practices at 108 S Hickory St, Mount Vernon, MO 65712. The listed phone number is (417) 466-4110.

What is Jaclyn Windham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Windham was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.