MEDICARE: JESSICA LYNN WILLNOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1134088495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN WILLNOW

Provider Business Mailing Address
First Line	:	1040 S WINTER ST STE 1022
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-3876
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 S WINTER ST STE 1022
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-3876
Country	:	US
Telephone Number	:	517-263-9805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ JESSICA LYNN WILLNOW ” Practice Location

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