MRS. JENNIFER REEVES WILLARD PA-C NPI 1720149578

NPI Information

NPI: 1720149578
Provider Name: MRS. JENNIFER REEVES WILLARD, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: EAGLE PHYSICIANS AND ASSOCIATES PA

PECOS Registration: Yes

Address:
301 E WENDOVER AVE STE 200
GREENSBORO, NC
ZIP 27401
Phone: (336) 482-2309
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MRS. Jennifer Reeves Willard, PA-C is a medical physician assistant in Greensboro, NC with 25 years of experience. MRS. Jennifer Reeves Willard, PA-C NPI is 1720149578. 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:

301 E WENDOVER AVE STE 200
GREENSBORO, NC
ZIP 27401-232
Phone: (336) 482-2309
Fax: (336) 268-3157

The NPI 1720149578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 4/13/2021.

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	363AM0700X	Physician Assistant	Medical	102881	NORTH CAROLINA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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