JENNIFER M WILLIFORD (NPI# 1508875477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508875477 |
| Entity Type | Individual |
| Full Name | JENNIFER M WILLIFORD |
| Other Name | JENNIFER M LUCIER |
| Credential | P.A.-C. |
| Practice Address |
3000 Old Centre Rd Portage MI 49024-4883 |
| Practice Telephone | 2693217546 |
| Practice Fax Number | 2693211705 |
| Mailing Telephone | 2693217546 |
| Mailing Fax Number | 2693211705 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003753 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538323100 | Jennifer Williford | Speech-Language Pathologist | 2007 Meade Pkwy, Suffolk, VA 23434-4259 | 2008-07-14 |
| Street Address |
3000 OLD CENTRE RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518925528 | Craig Albert Mohney | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-05-02 |
| 1932731999 | Adam D Standiford | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2020-02-07 |
| 1932658184 | Kayla Chapman | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024 | 2016-09-29 |
| 1225411705 | Ryan Timothy Jones | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2015-07-02 |
| 1003239500 | Gina Marie O'callaghan | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2014-02-04 |
| 1407281108 | Cristy J Burghardt | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2013-09-12 |
| 1053754168 | Stephanie Sabater-geib | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2013-04-09 |
| 1770730053 | Emily Elizabeth Roberts | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2008-08-19 |
| 1619179710 | Jessica Elaine Liggett | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2007-06-01 |
| 1285745950 | Jeffry Scott Freeman | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1609069566 | Jacqueline J James | Physician Assistant | 3000 Old Centre Road, Southwest Michigan Dermatology, A Division of Paragon H, Portage, MI 49024 | 2007-08-23 |
| 1528150893 | Michael Maurice Claussen | Physician Assistant | 3200 W Centre St, Suite 203, Portage, MI 49024 | 2006-09-28 |
| 1568425973 | Paige Jennifer Hickson | Physician Assistant | 6100 Newport Road, Suite 100, Kalamazoo Dermatology, P.C., Portage, MI 49002-9235 | 2006-04-07 |
| 1215917836 | Shanae A Hanoute | Physician Assistant | 2600 W Centre Ave, Portage, MI 49024-4828 | 2006-01-19 |
| 1003479445 | Brittany Rose Doxey | Physician Assistant | 1324 W Milham Ave, Portage, MI 49024-2239 | 2019-04-22 |
| 1902387962 | Amelia Louise Evenhouse | Physician Assistant | 3850 Glenkerry Ct, Portage, MI 49024-0700 | 2018-08-27 |
| 1932658184 | Kayla Chapman | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024 | 2016-09-29 |
| 1689056376 | Kristen Marie Moran | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-06-18 |
| 1710389853 | Shantel Lynn Bleeker | Physician Assistant | 3304 Cooley Ct, Portage, MI 49024 | 2014-09-19 |
| Find all providers in PORTAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.