Individual
JASON WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 CHILDRENS WAY, NASHVILLE, TN 37232-0005
(615) 936-1602
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
17954
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
17954
TN
Other
Enumeration date
09/18/2014
Last updated
10/16/2024
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