Healthcare Provider Details

I. General information

NPI: 1942135066
Provider Name (Legal Business Name): JOELLE SCHMUCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 BROADWAY AVE N
ROCHESTER MN
55906-3980
US

IV. Provider business mailing address

2720 BROADWAY AVE N
ROCHESTER MN
55906-3980
US

V. Phone/Fax

Practice location:
  • Phone: 507-529-0503
  • Fax:
Mailing address:
  • Phone: 507-529-0503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number205207
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06261502
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: