Willis, Jennifer Michelle

Willis, Jennifer Michelle is an individual health care provider with primary practice located at 615 E Princeton St Ste 401 , Orlando FL 32803-1469. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Willis, Jennifer Michelle can be contacted via phone (407) 303-9311.

Contact Information

Primary practice address
615 E Princeton St Ste 401 Orlando FL 32803-1469
Phone: (407) 303-9311
Fax: (407) 303-9273
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X Q2152 Texas
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 036 121316 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME141361 Florida

Profile Details

NPI number 1063675106
LBN Legal business name Willis, Jennifer Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Dec 10th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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