JESSICA SMITH WILLARD


Address: 102 Gregor Mendel Cir, Greenwood, SC 29646-2315
Phone: 8642292663

JESSICA SMITH WILLARD (NPI# 1710058342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710058342
Entity Type Individual
Full Name JESSICA SMITH WILLARD
Other Name JESSICA SMITH
Credential PA-C
Practice Address 102 Gregor Mendel Cir
Greenwood
SC 29646-2315
Practice Telephone 8642292663
Practice Fax Number 8642235694
Mailing Telephone 8642292663
Mailing Fax Number 8642235694
Enumeration Date 2006-11-13
Last Update Date 2019-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1082 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 0687PA 05

Other Providers JESSICA WILLARD

NPI Name Taxonomy Address Enumeration
1467931873 Jessica Elizabeth Willard Physical Therapist 1111 Crater Lake Ave, Medford, OR 97504-6241 2018-08-08

Office Location

Street Address 102 GREGOR MENDEL CIR
City GREENWOOD
State SC
Zip Code 29646-2315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629003751 Michael Josiah Maughon Jr. Orthopaedic Surgery 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2006-07-11
1811340664 Alan Baker Nurse Practitioner 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2016-07-18
1952772253 Self Medical Group Durable Medical Equipment & Medical Supplies 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2015-10-13
1427455708 Meredith H Stevenson Physical Therapist 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2014-12-02
1235559790 Mark Oliver Orthopaedic Surgery 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2014-04-23
1336561182 Kara Traynor Physical Therapist 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2014-01-14
1013257229 Genesis Sports & Rehabilitation Services, LLC Physical Therapist 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2013-02-25
1134407398 Robert L Brun Physician Assistant 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2011-07-21
1952695181 Casey Gunnells Velky Physical Therapist 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2011-06-06
1710185723 Lee Andrew Patterson Orthopaedic Surgery 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 2007-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114535416 Supriya Lal Dietitian, Registered 303 Parkwood Rd, Greenwood, SC 29646 2020-07-22
1174158406 Mara L Schwartz Registered Nurse 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 2020-03-06
1487213724 Greater Greenwood United Ministry Family Medicine 1404 Edgefield Street, Greenwood, SC 29646 2019-06-11
1346747995 Kelli Diane Clune Nurse Practitioner 115 E Alexander Ave, Greenwood, SC 29646 2018-04-10
1184150112 Sanquinette Sanders Brownlee Nurse Practitioner 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 2017-05-11
1194258426 Kimberley Lovejoy Assistant Behavior Analyst 210a Birchtree, Greenwood, SC 29646 2017-04-04
1427590900 Rejuvenation Massage By Frances Clinic/Center 610 Chace Avenue, Greenwood, SC 29646 2016-11-15
1932651643 Hayley Smith Counselor 110 Court Ave W, Greenwood, SC 29646 2016-10-28
1942757927 Towanda Morton Community Health Worker 303 Suite B South Main Street, Greenwood, SC 29646 2016-09-07
1770039976 Bragan Mace Pharmacist 1376 South Main St., Greenwood, SC 29646 2016-08-28
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477536530 David Bertrand Rose Physician Assistant 369 Euclid Ave, Greenwood, IN 46142-3613 2005-11-22
1215385174 Erika Leigh Felt Physician Assistant 701 E County Line Rd, Suite 201, Greenwood, IN 46143-1072 2016-06-01
1184098832 Dixie L Timms Physician Assistant 160 Academy Ave, Greenwood, SC 29646-3808 2015-11-18
1346613825 Robin Hemrick Physician Assistant 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143-3602 2015-11-05
1689765927 Julie Anne Heimann Physician Assistant 701 East County Line Road, Suite 201, Greenwood, IN 46143 2006-09-28
1285643049 Kari Menard Physician Assistant 1260 Innovation Pkwy, Ste 100, Greenwood, IN 46143-3601 2006-08-07
1265453831 Aaron L Egbert Physician Assistant 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 2006-07-21
1497787386 Stephen L. Huffaker Physician Assistant 105 Vine Crest Ct, Ste 500, Greenwood, SC 29646-8031 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689140451 Nichole Lemay Physician Assistant 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 2018-10-19
1588183909 John Edward Carpenter Physician Assistant 50 E Hospital St Ste 6, Manning, SC 29102-3149 2017-09-18
1689116006 Healing Hands Surgical Assisting Physician Assistant 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 2016-11-16
1003207101 Kimberly Anne Caldwell Physician Assistant 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 2015-02-10
1144653742 Carrie Marie Thompson Physician Assistant 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 2013-08-19
1437400363 William Travis Jeffcoat Physician Assistant 109 Health Way, Anderson, SC 29621-3333 2012-10-02
1609184316 Kym L Kittle Physician Assistant 161 Ashley Ave, Charleston, SC 29425-8905 2010-09-15
1093960957 Stephen Utenick Physician Assistant 105 Beason Farm Ln, Simpsonville, SC 29681-6509 2008-11-19
1689849457 First Surgical Associates, LLC Physician Assistant 1004 Wells St, Bennettsville, SC 29512-2718 2008-04-23
1922270594 Kati George Carter Physician Assistant 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 2008-03-24
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Competitor

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City GREENWOOD
Zip Code 29646

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Dataset Information

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.

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