Jessica Willis, MA is a
Student In An Organized Health Care Education/training Program based in San Diego, California. Jessica Willis is licensed to practice in * (Not Available) (license number ) and her current practice location is
2801 Meadow Lark Dr, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(858) 694-4492.
NPI number for Jessica Willis is 1891232203 and her current mailing address is 2801 Meadow Lark Dr, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891232203.
Healthcare Provider's Profile
Full Name | Jessica Willis |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2801 Meadow Lark Dr, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891232203
- Provider Enumeration Date: 01/23/2017
- Last Update Date: 09/23/2020
Medical Identifiers
Medical identifiers for Jessica Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891232203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Willis, MA 2801 Meadow Lark Dr, San Diego, CA 92123-2709 Ph: () - | Jessica Willis, MA 2801 Meadow Lark Dr, San Diego, CA 92123-2709 Ph: (858) 694-4492 |
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