Individual
MRS. JENNIFER LOUISE WILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. N.P.
Contact information
Practice address
601 ELMWOOD AVE, BOX 670, ROCHESTER, NY 14642-0001
(585) 275-7944
Mailing address
601 ELMWOOD AVE, BOX 670, ROCHESTER, NY 14642-0001
(585) 275-7944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300802-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02443209
—
NY
Enumeration date
04/21/2009
Last updated
04/21/2009
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