Individual
JENNIFER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 MEDICAL DR, POTTSTOWN, PA 19464-3224
(610) 326-7820
Mailing address
1555 MEDICAL DR, POTTSTOWN, PA 19464-3224
(610) 326-7820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064267
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2021
Last updated
02/09/2023
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