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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GENNICE JENAIL WILLIS

Active Sole Proprietor

GENNICE JENAIL WILLIS is a Home Health Aide healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1760929053 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · OKLAHOMA CITY, OK

Registration Details

NPI Number
1760929053
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2017 (9.3646379946569 yrs)
Last Updated
Jan 24, 2017
Licenses
37H041801211 (OK)
37V261041204 (OK)
37V261041204 (OK)
37H041801211 (OK)
37H041801211 (NY)
Sole Proprietor
Yes

Practice Information

Address
12017 DAHOON DR
OKLAHOMA CITY, OK, 731208131
Browse OK providers · Browse ZIP 73120
Phone
4053138685
Fax
8777192739
Primary Specialty
Home Health Aide
374U00000X
Additional Specialty
Home Health Aide
Additional Specialty
Nurse's Aide
Additional Specialty
Nurse's Aide

Other Home Health Aide Providers in OKLAHOMA CITY, OK

Name Credential NPI
JIMMY LEE GRAHAM 1790867380
ROSEITTA M MURRIA 1649424755
RUTH BAKARE 1518370501
NINA CHUKWU 1033501549
QUENISHA PEARSON 1952945271
SHIRLEY WRIGHT 1689277501
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.