Individual
DR. JENNIFER WILLIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7850
Mailing address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7850
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN661965
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
142841
PA
Other
Enumeration date
01/04/2023
Last updated
11/18/2025
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