Individual
JONATHAN WALTER WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP DET BSN RN
Contact information
Practice address
345 N JUNIPER ST, NORTH LIBERTY, IA 52317-7821
(319) 206-6165
Mailing address
345 N JUNIPER ST, NORTH LIBERTY, IA 52317-7821
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
164027
IA
363L00000X
Nurse Practitioner
Primary
A185262
IA
Other
Enumeration date
08/09/2023
Last updated
07/08/2025
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