Individual
JENNIFER WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
1003 MISTY MOUNTAIN RD, #523, LYNCHBURG, VA 24502-4049
(434) 907-4167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001202107
VA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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