Organization Active NPI

Deonna G Willis Aprn LLC

  • Family Medicine Physician
  • Lake City, FL
National Provider Identifier
1508776451
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Sep 11, 2026

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.