MRS. JENNIFER LOUISE WILLISON R.N. N.P. NPI 1710121801

NPI Information

NPI: 1710121801
Provider Name: MRS. JENNIFER LOUISE WILLISON, R.N. N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
601 ELMWOOD AVE
BOX 670
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-7944
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MRS. Jennifer Louise Willison, R.N. N.P. is an adult health nurse practitioner in Rochester, NY. MRS. Jennifer Louise Willison, R.N. N.P. NPI is 1710121801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 ELMWOOD AVE
BOX 670
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-7944

The enumeration date for this NPI number is 4/21/2009 and was last updated on 4/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F300802-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	02443209	MEDICAID	NEW YORK
2	CC3415	MEDICARE OSCAR/CERTIFICATION	NEW YORK
3	P19641	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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