Individual
MRS. JENNIFER REEVES WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 E WENDOVER AVE STE 200, GREENSBORO, NC 27401-1232
(336) 482-2309
(336) 268-3157
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 274-6515
(336) 275-0812
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102881
NC
Other
Enumeration date
12/13/2006
Last updated
04/13/2021
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