Individual
JESSICA MARIE WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1105 BRIERCLIFF RD, BRIDGEPORT, WV 26330-1301
(304) 657-4608
(304) 363-2282
Mailing address
1105 BRIERCLIFF RD, BRIDGEPORT, WV 26330-1301
(304) 657-4608
(304) 363-2282
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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