| Doctor Name: | MISS JENNIFER CENA WILLIS |
| NPI Number: | 1659766970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNFA |
| License Number: | 780674 |
| Business Practice Address: | 6389 Marbella Ln Eastvale, CA - 917527313 |
| Business Phone Number: | 7143499281 |
| Business Fax Number: | |
| Mailing Address: | 6389 Marbella Ln, EASTVALE |
| State: | CA |
| Postal Code: | 917527313 |
| Phone Number: | 7143499281 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2015 |
| NPI Last Update Date: | 04/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP2800X |
| License Number: | 780674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Perioperative |
| Taxonomy Definition: | |