MRS. JENNIFER REEVES WILLARD (NPI# 1720149578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720149578 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER REEVES WILLARD |
| Credential | PA-C |
| Practice Address |
3800 Robert Porcher Way Suite 200 Greensboro NC 27410-2190 |
| Mailing Address |
Po Box 14883 Greensboro NC 27415-4883 |
| Practice Telephone | 3362683280 |
| Practice Fax Number | 3362820379 |
| Mailing Telephone | 3362746515 |
| Mailing Fax Number | 3362750812 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
102881 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972077535 | Jennifer Willard | Occupational Therapist | 15 W 20th St Apt 4b, New York, NY 10011-3738 | 2019-01-17 |
| 1427203330 | Jennifer Willard | Occupational Therapist | 253 Washington Ave Apt C1, Brooklyn, NY 11205-4280 | 2008-11-19 |
| 1538653795 | Jennifer L Willard | Licensed Practical Nurse | 4500 Stuart St, Columbia, SC 29207-5700 | 2018-06-20 |
| 1235375114 | Jennifer Hastings Willard | Nurse Practitioner | 8 Century Pines Dr, Suite 2, Barrington, NH 03825-3732 | 2008-12-26 |
| 1750352423 | Jennifer M Willard | Pediatrics | 201 E Matthews St, Matthews, NC 28105-5027 | 2006-01-30 |
| Street Address |
3800 ROBERT PORCHER WAY SUITE 200 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730166794 | Aaron S Morrow | Family Medicine | 3800 Robert Porcher Way, Suite 200, Greensboro, NC 27410-2557 | 2005-12-29 |
| 1356667570 | Carol Dwan Webb | Family Medicine | 3800 Robert Porcher Way, Greensboro, NC 27410-2557 | 2010-04-13 |
| 1417187790 | Dibas Koirala | Family Medicine | 3800 Robert Porcher Way, Suite 200, Greensboro, NC 27410-2557 | 2009-07-21 |
| 1750555090 | Robert Morris Young | Dentist | 3800 Robert Porcher Way, Suite 100, Greensboro, NC 27410-2190 | 2008-04-17 |
| 1043306244 | Robert N Koehler | Family Medicine | 3800 Robert Porcher Way, Suite 200, Greensboro, NC 27410-2190 | 2006-10-05 |
| 1316033657 | Donna R Gates | Family Medicine | 3800 Robert Porcher Way, Suite 200, Greensboro, NC 27410-2190 | 2006-10-05 |
| 1700972866 | Carola J Westermann | Family Medicine | 3800 Robert Porcher Way, Suite 200, Greensboro, NC 27410-2190 | 2006-10-05 |
| 1710073606 | Eagle Physicians and Associates Pa | Family Medicine | 3800 Robert Porcher Way, Suite 200, Greensboro, NC 27410-2190 | 2006-10-05 |
| 1467498980 | Sharon A Wolters | Family Medicine | 3800 Robert Porcher Way, Suite 200, Greensboro, NC 27410-2190 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1700869856 | Arlo C. Lassen | Physician Assistant | 1309 N Elm St, Greensboro, NC 27401-1005 | 2005-11-22 |
| 1417955410 | Matthew Lloyd Strupp | Physician Assistant | 1000 Spring Garden Street, Anna Gove Student Health Center, Greensboro, NC 27402-6170 | 2005-07-13 |
| 1205450400 | Wylder Fondaw | Physician Assistant | 1126 N Church St, Greensboro, NC 27401-1000 | 2020-06-03 |
| 1255968376 | Cadence Hilary Furth | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2020-03-26 |
| 1386284305 | Margaux Venter | Physician Assistant | 1121 N Church St, Greensboro, NC 27401 | 2020-01-07 |
| 1275095499 | Brandon Anthony Morelli | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2019-04-05 |
| 1952875288 | Alexandra Marie Louk | Physician Assistant | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2019-01-21 |
| 1932605862 | Sophia Caccavale | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2018-03-31 |
| 1902348667 | Kelly Gekas | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2016-11-12 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
Please comment or provide details below to improve the information on MRS. JENNIFER REEVES WILLARD.
| 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.