Jacquelyn Willis, is a
Licensed Practical Nurse based in Green Brook, New Jersey. Jacquelyn Willis is licensed to practice in New Jersey (license number ) and her current practice location is
275 Greenbrook Rd, Green Brook, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 968-6000.
NPI number for Jacquelyn Willis is 1932323961 and her current mailing address is 45 Semel Ave, Iselin, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932323961.
Provider's Profile
| Full Name | Jacquelyn Willis |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 275 Greenbrook Rd, Green Brook, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932323961
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jacquelyn Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932323961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | (New Jersey) | 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. Jacquelyn 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 |
|---|
Jacquelyn Willis,
45 Semel Ave,
Iselin, NJ 08830-1333
Ph: () - | Jacquelyn Willis,
275 Greenbrook Rd,
Green Brook, NJ 08812-2223
Ph: (732) 968-6000 |
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