Individual
MRS. JESSIE ELLEN WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
503 CYNWOOD DR STE 4, EASTON, MD 21601-3869
(443) 786-1113
(800) 603-4290
Mailing address
9077 MAY APPLE LN, EASTON, MD 21601-6810
(443) 880-8998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R215048
MD
Other
Enumeration date
10/07/2022
Last updated
10/05/2023
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