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Contact Information

JONATHAN W WILLOUGHBY, DNP DET BSN RN
345 N JUNIPER ST
NORTH LIBERTY, IA52317-7821
 Phone: 319-206-6165
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Emergency

163WE0003X
Indicates primary specialty

NPI Profile & details for JONATHAN W WILLOUGHBY · (Male)

NPI # 1841973443
Status Active
Credentials DNP DET BSN RN
Entity Individual
Enumeration date 08/09/2023
Last updated 07/08/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IA License # 164027
  • IA License # A185262
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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