MRS. JENNIFER CENA WILLIS (NPI# 1659766970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659766970 |
Entity Type | Individual |
Full Name | MRS. JENNIFER CENA WILLIS |
Other Name | MISS JENNIFER GALIT CENA |
Credential | FNP-BC |
Practice Address |
6389 Marbella Ln Eastvale CA 91752-7313 |
Mailing Address |
2911 Tennessee Ct Riverside CA 92506-4145 |
Practice Telephone | 7143499281 |
Mailing Telephone | 7143499281 |
Enumeration Date | 2015-04-02 |
Last Update Date | 2019-01-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
780674 | CA | Nursing Service Providers |
N | 364SP2800X |
Clinical Nurse Specialist Specialization: Perioperative |
780674 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95008880 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023368081 | Jennifer Ray Willis | Social Worker | 700 Lampton Ln, Mcalester, OK 74501-7028 | 2012-09-17 |
1124306543 | Jennifer Willis | Contractor | 6060 N Central Expy Ste 500, Dallas, TX 75206-5209 | 2011-08-02 |
1104864255 | Jennifer Beth Willis | Social Worker | 2103 Golf Course Road Se, Suite A, Rio Rancho, NM 87124-2071 | 2006-06-02 |
1427043983 | Jennifer Tricia Willis | Nurse Anesthetist, Certified Registered | 2608 Crest Valley Drive, Conyers, GA 30094 | 2005-09-12 |
1841815453 | Jennifer Willis | Pharmacist | 2400 Mountain Dr Ste 104, Hoover, AL 35226-1569 | 2020-06-09 |
1982249199 | Jennifer Willis | Massage Therapist | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2019-11-12 |
1598268724 | Jennifer Stewart Willis | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2018-03-14 |
1356859847 | Jennifer Willis | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-18 |
1831578277 | Jennifer Willis | Physical Therapy Assistant | 1 Donham Plz Fl 4, Middletown, OH 45042-1932 | 2015-05-19 |
1740671205 | Jennifer Willis | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-02-05 |
Street Address |
6389 MARBELLA LN |
City | EASTVALE |
State | CA |
Zip Code | 91752-7313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124673462 | National Vision Inc | Optometrist | 12585 Cantu Galleano Ranch Road, Suite 120, Eastvale, CA 91752 | 2019-08-05 |
1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
1124681150 | Sleep Dme Management, Inc. | Home Health Aide | 12523 Limonite Avenie, #440-341, Mira Loma, CA 91752 | 2019-04-16 |
1255835179 | Costco Wholesale Corporation | Hearing Aid Equipment | 5030 Hamner Ave., Eastvale, CA 91752 | 2018-03-23 |
1487171963 | Devin Davis | Behavioral Analyst | 6632 Leanne St., Mira Loma, CA 91752 | 2017-08-25 |
1063946226 | Help Me Rhonda | Point of Service | 5919 Sunny Circle, Mira Loma, CA 91752 | 2017-04-14 |
1477930949 | Avinash Mirle Chandrashekar | Speech-Language Pathologist | 5725 Darbreak Dr, Apt C, Eastvale, CA 91752 | 2015-05-04 |
1336371061 | Prior Board & Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6121 Jupiter Dr., Mira Loma, CA 91752 | 2009-08-13 |
1245497288 | Elizabeth E Williamson | Dentist | 12571 Limonite Avenue, Suite 230, Mira Loma, CA 91752 | 2008-05-19 |
1003099425 | Dhama and Rodgers Dental Corporation | Dentist | 6445 Pat's Ranch Road, Ste G, Mira Loma, CA 91752 | 2007-12-07 |
Find all providers in zip 91752 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831709617 | Sara Tom | Nurse Practitioner | 6360 Peach Blossom St, Eastvale, CA 92880-0760 | 2020-08-05 |
1790303964 | Dion Whitehead | Nurse Practitioner | 7456 Westcliff Way, Eastvale, CA 92880-3335 | 2020-07-14 |
1750844304 | Holly Diane Fyda | Nurse Practitioner | 2159 Castle Rock Cir, Eastvale, CA 92880-5465 | 2019-04-10 |
1902338411 | Tiffany Applewhite | Nurse Practitioner | 13608 Sagemont Ct, Eastvale, CA 92880-5506 | 2017-04-03 |
1275086753 | Blaise Njieya Djeugoue | Nurse Practitioner | 6136 Flagstaff Dr, Eastvale, CA 92880-4611 | 2016-08-01 |
1588023436 | Sandra Cantero | Nurse Practitioner | 6442 Marigold St, Eastvale, CA 92880-7230 | 2016-02-22 |
1255587705 | Olivia Anne Yance | Nurse Practitioner | 14220 Schleisman Rd, Eastvale, CA 92880-4020 | 2008-08-15 |
1093213787 | Anglae B Ojeda | Nurse Practitioner | 12742 Limonite Ave, Eastvale, CA 92880-9630 | 2018-01-27 |
1811355381 | Jennifer Candiff | Nurse Practitioner | 12442 Limonite Ave, Suite 207, Eastvale, CA 91752-2467 | 2016-01-29 |
1669844957 | Pei-ju Peggy Yu | Nurse Practitioner | 14220 Schleisman Rd, Eastvale, CA 92880-4020 | 2015-10-26 |
Find all providers in EASTVALE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.