Dr. Jennifer Michelle Willis
Pediatrician Pediatric Nephrologist
615 E Princeton St Ste 401
Orlando
, Florida 32803-1469
Dr. Jennifer Michelle Willis
Pediatrician Pediatric Nephrologist
615 E Princeton St Ste 401
Orlando
, Florida 32803-1469
(407) 303-9273
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Jennifer Michelle Willis
- 615 E Princeton St Ste 401
- Orlando, FL
- Zip : 32803-1469
- Fax : (407) 303-9273
- Phone : (407) 303-9311
Second Address
- Dr. Jennifer Michelle Willis
- 615 E Princeton St Ste 401
- Orlando, FL
- Zip : 32803-1469
- Fax : (407) 303-9273
- Phone : (407) 303-9311
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | ME141361 | FL |
| N | 2080P0210X | Pediatric Nephrologist | 036 121316 | IL |
| N | 2080P0210X | Pediatric Nephrologist | Q2152 | TX |
National Provider Identifier
| NPI | 1063675106 |
|---|---|
| Provider Name | Dr. Jennifer Michelle Willis |
| First Address | Orlando, FL 32803-1469 |
| Second Address | Orlando, FL 32803-1469 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2008 |
| Last Update Date | 10/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.