Active NPI
Jennifer L. Willis, F.N.P.
- Family Nurse Practitioner
- Midland, TX
National Provider Identifier
1356354112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 517667
- Practice address
- 4214 Andrews Hwy Ste 100a
Midland, TX 79703-4873 - Phone
- (432) 522-1234
- Fax
- (432) 522-2950
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 517667 | TX | Primary |
Addresses
Primary practice location
4214 Andrews Hwy Ste 100a
Midland, TX 79703-4873
Mailing address
PO Box 8749
Midland, TX 79708-8749
Phone (432) 522-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356354112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8749",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797088749",
"telephone_number": "432-522-1234",
"fax_number": "432-522-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 ANDREWS HWY STE 100A",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797034873",
"telephone_number": "432-522-1234",
"fax_number": "432-522-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "517667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.