Jason Keith Willoughby, MSN, CRNP, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-082033 Issued in AL

Practice address

927 Medical Center Dr
Bessemer, AL 35022-6081

Phone

(205) 481-8670

NPI assigned

Sep 9, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1124453204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8463 SHORESIDE LN",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350221607",
            "telephone_number": "205-789-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MEDICAL CENTER DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226081",
            "telephone_number": "205-481-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "JASON",
        "middle_name": "KEITH",
        "credential": "MSN, CRNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2020-11-17",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-082033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Wesley Wilkerson Jr., PHARMD
• Harriet M Williams, RD
• Jamie L Williams, RD
• Leotis Williams, DMD
• Sharon W. Williams, O.T.
• Breezy Wilson, M.D.
• Jennifer Wilson
• Judith Lynn Wilson, LPC
• Lauren Wilson, DO
• Spencer Simon Wilson, DMD

• Adult Health Nurse Practitioner in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.