Willison, Jessica A.

Willison, Jessica A. is an individual health care provider with primary practice located at 2750 Taylor Ave Ste A19 , Orlando FL 32806-4474. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Willison, Jessica A. can be contacted via phone (407) 717-4704.

Contact Information

Primary practice address
2750 Taylor Ave Ste A19 Orlando FL 32806-4474
Phone: (407) 717-4704
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 359 Florida

Profile Details

NPI number 1235630849
LBN Legal business name Willison, Jessica A.
Credentials LM, CPM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235630849 NPPES
Florida Other 359 FLORIDA DEPARTMENT OF HEALTH

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