JESSICA WILLIS MA
NPI 1891232203
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since January 23, 2017

2801 MEADOW LARK DR, SAN DIEGO, CA 92123(858) 694-4492 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 23, 2020, Jan 23, 2017 (2 updates tracked since 2017).

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About Jessica Willis Ma NPPES

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

JESSICA WILLIS MA (NPI 1891232203) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since January 2017. She maintains a secondary practice location in Santa Fe Springs.

NPPES Registry Identity

NPI1891232203

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA WILLISCredential: MA

Location Address2801 MEADOW LARK DRSan Diego, CA 92123-2709

Mailing Address2801 Meadow Lark DrSan Diego, CA 92123-2709

Phone(858) 694-4492

Sole ProprietorNo

Enumeration DateJanuary 23, 2017

Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1891232203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2801 MEADOW LARK DR, San Diego, CA 92123

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