IndividualActive
Jodi Willis
NPI 1912186792 · Developmental Disabilities Clinic/Center · Raeford, NC
Provider details
- NPI number
- 1912186792
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
305 Wooley St
Raeford, NC 28376-3236
Phone: (910) 875-5074
Fax: (910) 875-7694
Approximate (ZIP-level) locationGet directions
Mailing address
305 Wooley St
Raeford, NC 28376-3236
Registry dates
- Enumerated
- 2007-10-30
- Last updated
- 2007-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.