Individual
MS. JESSICA A. WILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
2750 TAYLOR AVE STE A19, ORLANDO, FL 32806-4474
(407) 717-4704
Mailing address
2830 PLAZA TERRACE DR, ORLANDO, FL 32803-2816
(407) 717-4704
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
02/28/2018
Last updated
02/28/2018
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