Jackie Willms

Anesthesiologist Assistant · Grove City, OH

Individual Active NPI

NPI number 1336094390

Practice location

2145 Staghorn Way
Grove City, OH 43123-4873
Phone
(330) 419-1080

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NPI record

NPI
1336094390
Entity type
Individual (Type 1)
Enumeration date
March 3, 2026
Last updated
March 3, 2026
Certified
March 3, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X — —

About Jackie Willms

Jackie Willms is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 2145 Staghorn Way, Grove City, OH 43123-4873. The NPI number 1336094390 was assigned on March 3, 2026 and the record was last updated on March 3, 2026.

Frequently asked questions

What is the NPI number of Jackie Willms?

The NPI number is 1336094390.

What is the phone number of Jackie Willms?

The phone number listed for the practice location is (330) 419-1080.

Where is Jackie Willms located?

2145 Staghorn Way, Grove City, OH 43123-4873.

What is the taxonomy code for Jackie Willms?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.