Individual
JESSICA WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM,CPM
Contact information
Practice address
1405 DR MLK JR ST N, SAINT PETERSBURG, FL 33704
(727) 895-2300
(727) 895-2375
Mailing address
1501 20TH AVE N LOWR, SAINT PETERSBURG, FL 33704-3909
(813) 404-7120
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW289
FL
374J00000X
Doula
—
—
Other
Enumeration date
01/23/2013
Last updated
01/26/2015
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