Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Jade Nicole Willis, PA-C

Individual provider Physician Assistant · NPI 1669753745

Miss. Jade Nicole Willis, PA-C is a Physician Assistant in Austell, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3950 Austell Rd # 22
Austell, GA 30106-1121
Phone: (770) 732-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Parkbrooke Dr, Woodstock, GA 30189-6331 — (770) 218-9002

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6079 (GA)

Record details

NPI number1669753745
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 2, 2011
Last updated in NPPESNovember 6, 2019

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