Jennifer R Willis is a Louisville, Kentucky based nurse practitioner with 19 years of experience in . She completed her graduation in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer R Willis is 3006899 in Kentucky. Her current practice location is 601 S Floyd St Ste 700, Louisville. Patients can reach her at 502-629-7181 or can fax her at 502-629-6957. Jennifer R Willis is NP and her NPI number (Unique professional ID assigned by NPPES) is 1043526064. Jennifer R Willis has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jennifer R Willis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jennifer R Willis
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2005
Accepts Medicare Assignment:
Yes
Practice Address:
601 S Floyd St Ste 700, Louisville, Kentucky, 40202-1845
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5597946640
Enrollment ID:
I20120801000557
NPI Number:
1043526064
NPI Enumeration Date:
27 Aug, 2010
NPI Last Update On:
17 Oct, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer R Willis are as mentioned below.
License Number
Specialization
State
Status
3006899
Kentucky
Primary
28178246A
Registered Nurse
Indiana
Secondary
1083742
Registered Nurse
Kentucky
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jennifer R Willis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Community Medical Associates Inc (7012811284)
988
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer R Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000772805
Other
Kentucky
ANTHEM-NMFM
137155
Other
Kentucky
SIHO - NMFM
50040392
Other
Kentucky
PASSPORT - NMFM
201009490
Medicaid
Indiana
7100205410
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jennifer R Willis Po Box 766351, Chicago, Illinois
Zip:
60677-6351
Phone Number:
502-588-9490
Fax Number:
502-272-5116
Patients can reach Jennifer R Willis at 601 S Floyd St Ste 700, Louisville, Kentucky or can call to book an appointment on 502-629-7181.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.