Individual
JENNIFER WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
217 W CATALDO AVE FL 3, SPOKANE, WA 99201-2217
(509) 747-6194
(509) 838-0824
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61230443
WA
363AM0700X
Medical Physician Assistant
PA0275
NV
363AS0400X
Surgical Physician Assistant
Primary
PA61230443
WA
Other
Enumeration date
12/20/2013
Last updated
04/24/2026
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