Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERSON CLINTON WILLIS, PMHNP-BC
Active Sole ProprietorPsychiatric/Mental Health Nurse Practitioner · SEAFORD, DE
Registration Details
- NPI Number
- 1417743113
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2025 (1.0552661570518 yrs)
- Last Updated
- Apr 17, 2025
- License
-
L8-0010827 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
413 HIGH STSEAFORD, DE, 199733923Browse DE providers · Browse ZIP 19973
- Phone
- 3023946051
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in SEAFORD, DE
| Name | Credential | NPI |
|---|---|---|
| MS. CYNTHIA A RISTINE-BURNLEY | CRNP | 1134597362 |
| JEFFREY ALLAN WILLEY | PHD, PMHNP-BC | 1407610983 |
| MARI ALISZA PHARES | — | 1013878412 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.