Individual
MS. JANE D WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 BRIDGE ST, SHELBURNE FALLS, MA 01370-1146
(413) 834-3145
(413) 691-0478
Mailing address
PO BOX 372, ASHFIELD, MA 01330-0372
(413) 834-3145
(413) 691-0478
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
221400
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103702
—
MA
Enumeration date
11/08/2006
Last updated
05/01/2019
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