1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Licensed Practical Nurse
  6. NPI Profile

JESSE WILLARD LPN
NPI 1114475225
Licensed Practical Nurse in Madison, WI

Active since September 18, 2016
1128 MORRAINE VIEW DR, UNIT 301, MADISON, WI 53719(608) 338-9774 Get Directions Write a Review

NPPES record last updated: September 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Willard Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE WILLARD LPN (NPI 1114475225) is an individual licensed practical nurse in Madison, Wisconsin, licensed in Wisconsin (320697-31) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1114475225
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJESSE WILLARDCredential: LPN
Location Address1128 MORRAINE VIEW DR, UNIT 301Madison, WI 53719-3078
Mailing Address1128 Morraine View Dr, Unit 301Madison, WI 53719-3078 · (608) 338-9774
Phone(608) 338-9774
Sole ProprietorYes
Enumeration DateSeptember 18, 2016
✔ NPI 1114475225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 320697-31
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1128 MORRAINE VIEW DR, Madison, WI 53719
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Willard's NPI number?

The NPI number for Jesse Willard is 1114475225. It was assigned to this individual provider in the NPPES registry on September 18, 2016.

Where is Jesse Willard located?

Jesse Willard practices at 1128 Morraine View Dr Unit 301, Madison, WI 53719. The listed phone number is (608) 338-9774.

What is Jesse Willard's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jesse Willard was last updated on September 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.