Individual
MRS. JENNIFER LYNN WILLCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6002 168TH ST SW, LYNNWOOD, WA 98037-2730
(425) 835-5225
(425) 835-5225
Mailing address
6002 168TH ST SW, LYNNWOOD, WA 98037-2730
(425) 835-5225
(425) 835-5225
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178761
L&I
—
01
—
1035425
NCCPA CERTIFICATE NUMBER
—
05
—
8879273
—
WA
01
—
G8858574
MEDICARE PTAN
—
01
—
G8858575
MEDICARE PTAN
—
01
—
G8858576
MEDICARE PTAN
—
01
—
G8858577
MEDICARE PTAN
WA
01
—
G8858578
MEDICARE PTAN
—
01
—
G8872586
MEDICARE PTAN
WA
Enumeration date
03/28/2007
Last updated
03/29/2026
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