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
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 95061769 (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.