Individual provider · Type 1 NPI

Jessica Smith Willard, PA-C

Surgical Physician Assistant · Greenwood, SC

NPI number 1710058342 Active

Practice location

102 Gregor Mendel Cir
Greenwood, SC 29646-2315

Fax (864) 223-5694

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1082 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1710058342

Jessica Smith Willard, PA-C's National Provider Identifier is 1710058342, issued on Nov 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greenwood, SC. The record was last updated on Dec 14, 2021.