MRS. JENICA MARISSA WILLIS LM CPM LVN IBCLC NPI 1962099804

NPI Information

  • NPI: 1962099804
  • Provider Name: MRS. JENICA MARISSA WILLIS, LM, CPM, LVN, IBCLC
  • Classification: Midwife - 176B00000X
  • Entity Type: Individual
  • Address: 1031 17TH STREET
    BAKERSFIELD, CA
    ZIP 93301
  • Phone: (661) 234-9894

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NPI Details

MRS. Jenica Marissa Willis, LM, CPM, LVN, IBCLC is a midwife in Bakersfield, CA. The provider is a Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. MRS. Jenica Marissa Willis, LM, CPM, LVN, IBCLC NPI is 1962099804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1031 17TH STREET
BAKERSFIELD, CA
ZIP 93301-172
Phone: (661) 234-9894
Fax: (661) 360-6243

The enumeration date for this NPI number is 12/27/2020 and was last updated on 3/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164X00000XLicensed Vocational Nurse286953CALIFORNIANo
2174N00000XLactation Consultant, Non-RNL-302379CALIFORNIANo
3176B00000XMidwifeLM764CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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