Individual ProviderJessica WillsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1201 W 38th St, Austin, TX 78705-1006(512) 324-1000PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Wills is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1003524877Provider TypeIndividualFull NameWills, JessicaTitleMrs.CredentialFNP-CGenderFemaleSole ProprietorYesEnumeration Date11/10/2022Last Updated11/10/2022Contact InformationPractice LocationPractice Address1201 W 38th St, Austin, TX 78705-1006Phone(512) 324-1000FaxUnlisted FaxMailing LocationMailing Address1201 W 38th St, Austin, TX 78705-1006Phone(512) 324-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF10220999Texas