Jessica Willis, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173571 Issued in VA

Practice address

703 Thimble Shoals Blvd Ste B-5
Newport News, VA 23606-4533

Phone

(757) 749-5004

Fax

(757) 273-6198

NPI assigned

Sep 13, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nexgen Wellness Group PLLC

  • Clinic/Center
  • Newport News, VA
  • NPI 1962202283
  NPD Authorized official
• Peninsula Vascular Center, P.C.

  • Nephrology Physician
  • Hampton, VA
  • NPI 1093070781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1396293833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD STE B-5",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064533",
            "telephone_number": "757-749-5004",
            "fax_number": "757-273-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD STE B-5",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064533",
            "telephone_number": "757-749-5004",
            "fax_number": "757-273-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Patrice Williams, LPC
• Verneeta Lynne Williams, MD
• Williamsburg Orthotics and Prosthetics Inc (Certified Prosthetic & Orthotic Specialist)
• Williamsburg Pediatric Dentistry PLLC
• Bridgitte Willis-Townsell
• Mary E Willis, NP
• Nicole Willis, NP
• Kelli Willshire, LCSW
• Jordan P Willsie
• Kent E. Willyard, MD

• Family Nurse Practitioner in Newport News, VA
• Providers in Newport News, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.