MRS. JENICA MARISSA WILLIS LM, CPM, LVN, IBCLC
NPI 1962099804
Midwife in Bakersfield, CA

Active since December 27, 2020
1031 17TH STREET, BAKERSFIELD, CA 93301(661) 234-9894(661) 360-6243 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2025, Dec 27, 2020 (2 updates tracked since 2020).

About Mrs. Jenica Marissa Willis Lm, Cpm, Lvn, Ibclc NPPES

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

MRS. JENICA MARISSA WILLIS LM, CPM, LVN, IBCLC (NPI 1962099804) is an individual midwife in Bakersfield, California, licensed in California (LM764) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1962099804
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMRS. JENICA MARISSA WILLISCredential: LM, CPM, LVN, IBCLC
Location Address1031 17TH STREETBakersfield, CA 93301-6172
Mailing Address1031 17th StreetBakersfield, CA 93301 · (661) 234-9894 · Fax (661) 360-6243
Fax(661) 360-6243
Sole ProprietorNo
Enumeration DateDecember 27, 2020
Last NPPES UpdateMarch 15, 20252 updates tracked since enumeration
NPPES CertifiedMarch 15, 2025
NPI 1962099804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in CA · LM764
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 286953 (CA)
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-302379 (CA)
1031 17TH STREET, Bakersfield, CA 93301

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Midwife
1031 17TH STREET
BAKERSFIELD, CA 93301
Doula
1031 17TH STREET
BAKERSFIELD, CA 93301
Doula
1031 17TH STREET
BAKERSFIELD, CA 93301
Doula
1031 17TH STREET
BAKERSFIELD, CA 93301

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 Jenica Willis's NPI number?

The NPI number for Jenica Willis is 1962099804. It was assigned to this individual provider in the NPPES registry on December 27, 2020.

Where is Jenica Willis located?

Jenica Willis practices at 1031 17th Street, Bakersfield, CA 93301. The listed phone number is (661) 234-9894.

What is Jenica Willis's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

When was this NPI record last updated?

The NPPES record for Jenica Willis was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.