Individual
JESSICA ERIN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3568 CHERE CAROL RD, HUMBOLDT, TN 38343-3639
(731) 422-0213
(731) 784-9518
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 422-0213
(731) 784-9518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24259
MS
207Q00000X
Family Medicine Physician
Primary
3077
TN
Other
Enumeration date
06/17/2013
Last updated
03/28/2024
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