Individual
MRS. JENNIFER L WILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7950
(740) 375-8164
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-140630
IN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
07/20/2026
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