Individual provider · Type 1 NPI

Jennifer Willis, MPAS, PA-C

Surgical Physician Assistant · Spokane, WA

NPI number 1134540941 Active

Practice location

217 W Cataldo Ave Fl 3
Spokane, WA 99201-2217

Call (509) 747-6194 Map

Fax (509) 838-0824

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA0275 (NV)
Surgical Physician Assistant Primary 363AS0400XPA61230443 (WA)
Physician Assistant 363A00000XPA61230443 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1134540941

Jennifer Willis, MPAS, PA-C's National Provider Identifier is 1134540941, issued on Dec 20, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Spokane, WA. The record was last updated on Apr 24, 2026.