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

JODI WILLIS

Active Sole Proprietor

JODI WILLIS is a Developmental Disabilities Clinic healthcare provider located in RAEFORD, North Carolina. NPI 1912186792 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · RAEFORD, NC

Registration Details

NPI Number
1912186792
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2007 (18.800277883329 yrs)
Last Updated
Oct 30, 2007
Sole Proprietor
Yes

Practice Information

Address
305 WOOLEY ST
RAEFORD, NC, 283763236
Browse NC providers · Browse ZIP 28376
Phone
9108755074
Fax
9108757694
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
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.