person
Jennifer R Willis, NP
Diabetes Educator Registered Nurse in Louisville, Kentucky
NPI 1043526064

Jennifer R Willis is a Diabetes Educator Registered Nurse based in Chicago, KY and is specialized in Diabetes Educator. Jennifer R Willis practices in Louisville, KY and has the professional credentials of NP. The NPI Number for Jennifer R Willis is 1043526064 and holds a License No. 28178246A (Kentucky).

The current practice location address for Jennifer R Willis is 601 S Floyd St Ste 700, Louisville, KY and can be reached out via phone at 502-629-7181 and via fax at 502-629-6957.

Location: 601 S Floyd St Ste 700, Louisville, KY, 60677-6351
person
Provider Profile Details
NPI Number
1043526064
Provider Name
Jennifer R Willis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
601 S Floyd St Ste 700, Louisville, KY, 60677-6351
Phone Number
502-629-7181
Fax Number
502-629-6957
Provider Enumeration Date
08/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000772805 01 KY ANTHEM-NMFM
137155 01 KY SIHO - NMFM
50040392 01 KY PASSPORT - NMFM
201009490 05 IN
7100205410 05 KY
institution
Provider Business Practice Location Address Details
Address
601 S Floyd St Ste 700
City
State
Zip
40202-1845
Phone Number
502-629-7181
Fax Number
502-629-6957
person
Provider Business Mailing Address Details
Address
601 S Floyd St Ste 700
City
State
Zip
40202-1845
Phone Number
502-629-7181
Fax Number
502-629-6957
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
License No.
3006899 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
28178246A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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