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Jahmaal Jason Willis, NP
Family Nurse Practitioner in Victorville, California
NPI 1679273551

Jahmaal Jason Willis is a Family Nurse Practitioner based in Victorville, CA and is specialized in Family. Jahmaal Jason Willis practices in Victorville, CA and has the professional credentials of NP. The NPI Number for Jahmaal Jason Willis is 1679273551 and holds a License No. NP95024311 (California).

The current practice location address for Jahmaal Jason Willis is 12740 Hesperia Rd Ste B, Victorville, CA and can be reached out via phone at 760-713-6969.

Location: 12740 Hesperia Rd Ste B, Victorville, CA, 92395-8306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679273551
Provider Name
Jahmaal Jason Willis
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
12740 Hesperia Rd Ste B, Victorville, CA, 92395-8306
Phone Number
760-713-6969
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12740 Hesperia Rd Ste B
City
Victorville
State
California
Zip
92395-8306
Phone Number
760-713-6969
Fax Number
person
Provider Business Mailing Address Details
Address
12740 Hesperia Rd Ste B
City
Victorville
State
California
Zip
92395-8306
Phone Number
760-713-6969
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95024311 (California)
Definition
Definition to come...
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