Active NPI
Deonna G Willis Aprn LLC
- Family Medicine Physician
- Lake City, FL
National Provider Identifier
1508776451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DEONNA G WILLIS APRN LLC
- Practice address
- 2218 W US Highway 90 Ste 102
Lake City, FL 32055-7281 - Phone
- (386) 243-8991
- Fax
- (386) 243-8997
- NPI assigned
- Sep 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deonna Willis, APRN
- Title
- Owner
- Phone
- (386) 243-8991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2218 W US Highway 90 Ste 102
Lake City, FL 32055-7281
Mailing address
2218 W US Highway 90 Ste 102
Lake City, FL 32055-7281
Phone (386) 243-8991
Other names 1
- SILIQUE WELLNESS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1508776451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 W US HIGHWAY 90 STE 102",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320557281",
"telephone_number": "386-243-8991",
"fax_number": "386-243-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 W US HIGHWAY 90 STE 102",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320557281",
"telephone_number": "386-243-8991",
"fax_number": "386-243-8997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEONNA G WILLIS APRN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "DEONNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-243-8991",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SILIQUE WELLNESS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.