Jennifer M Willard in Charlotte - Adolescent Medicine

Jennifer M Willard - NPI 1750352423

Jennifer M Willard is a Adolescent Medicine in Charlotte, North Carolina. Jennifer M Willard practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jennifer M Willard is 1750352423. The last update date is 2015-03-18.

Jennifer M Willard's current location address is Po Box 60447, Charlotte, North Carolina. You can contact this provider via phone number 7048470572 and fax number 7048479760. The mailing address for Jennifer M Willard is Po Box 60447, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer M Willard
Address Po Box 60447, Charlotte, North Carolina
Phone Number 7048470572
Fax Number 7048479760
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1750352423
Provider Enumeration Date 2006-01-30
Last Updated Date 2015-03-18

Provider Mailing Address Detail

Address Po Box 60447
City Charlotte
State North Carolina (NC)
Post Code 282600447
Phone Number 7048470572
Fax Number 7048479760

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 9701657
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
891197N NC --

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FAQs about Jennifer M Willard

What is the Jennifer M Willard's unique identification number?

The Jennifer M Willard has been assigned the NPI (National Provider Identifier) Number 1750352423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jennifer M Willard is geographically located?

The Jennifer M Willard is physically situated at the following location: Po Box 60447, Charlotte, NC, 282600447.

What is the area of specialization for Jennifer M Willard, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennifer M Willard is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.

On what date did the Jennifer M Willard receive its 1750352423 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer M Willard was assigned its 1750352423 by the Centers for Medicare & Medicaid Services on 2006-01-30.

When was the information regarding Jennifer M Willard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jennifer M Willard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-03-18.

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