JEREMIAH WILLIS
NPI 1093688764
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since September 27, 2025
4311 11TH AVE NE STE 200, SEATTLE, WA 98105(206) 616-4001 Get Directions Write a Review

NPPES record last updated: September 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About JEREMIAH WILLIS

This page provides the complete NPI Profile along with additional information for Jeremiah Willis, a primary care provider established in Seattle, Washington with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1093688764 assigned on September 2025. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1093688764 Verify this NPI
Provider Name
JEREMIAH WILLIS
Gender
Male
Entity Type
Individual
Location Address
4311 11TH AVE NE STE 200 SEATTLE, WA 98105
Location Phone
(206) 616-4001
Mailing Address
719 SW 356TH PL FEDERAL WAY, WA 98023
Mailing Phone
(253) 241-9390
Is Sole Proprietor?
No
Enumeration Date
09-27-2025
Last Update Date
09-27-2025
Code Navigator

A primary care provider (PCP) like Jeremiah Willis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License State
WA
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant (Medical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant (Medical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093688764, enumerated as an "individual" on September 27, 2025.

The provider is located at 4311 11TH AVE NE STE 200 SEATTLE, WA 98105 and the phone number is (206) 616-4001.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.