Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jenica Marissa Willis, LM, CPM, LVN, IBCLC

Individual provider Licensed Vocational Nurse · NPI 1962099804

Mrs. Jenica Marissa Willis, LM, CPM, LVN, IBCLC is a Licensed Vocational Nurse in Bakersfield, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
3
What do these letters mean?
LVN — Licensed Vocational Nurse
The same role as an LPN; the title used in California and Texas.

See every abbreviation used in this directory →

Practice location Address checks out

1031 17th St
Bakersfield, CA 93301-6172
Phone: (661) 234-9894
Fax: (661) 360-6243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence LM764 (CA)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 286953 (CA)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-302379 (CA)

Record details

NPI number1962099804
Entity typeIndividual (Type 1)
GenderFemale
Credentials LM , CPM , LVN , IBCLC
Sole proprietorNo
NPI enumeratedDecember 27, 2020
Last updated in NPPESMarch 15, 2025
Certification dateMarch 15, 2025

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