Individual provider · Type 1 NPI

Jeffrey Allen Willis, RN

Administrator Registered Nurse · Inglewood, CA

NPI number 1982555892 Active

Practice location

555 E Hardy St
Inglewood, CA 90301-4011

Fax (310) 412-4504

Mailing address

14333 Whiterock Dr
La Mirada, CA 90638-3831

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000X95061769 (CA)

Administrator Registered Nurse: Definition to come...

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About NPI 1982555892

Jeffrey Allen Willis, RN's National Provider Identifier is 1982555892, issued on Feb 6, 2026. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Inglewood, CA. The record was last updated on Feb 6, 2026.