Individual
MS. JILL RENE' WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13467
CO
363L00000X
Nurse Practitioner
Primary
AP61226935
WA
363LF0000X
Family Nurse Practitioner
Primary
61226935
WA
Other
Enumeration date
08/30/2012
Last updated
01/28/2026
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