Nicole Willis, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024191593 Issued in VA

Practice address

606 Denbigh Blvd Ste 400
Newport News, VA 23608-4437

Phone

(757) 269-3313

NPI assigned

Oct 23, 2024

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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1609697481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 DENBIGH BLVD STE 400",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 DENBIGH BLVD STE 400",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084437",
            "telephone_number": "757-269-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Orthotics and Prosthetics Inc
• Williamsburg Pediatric Dentistry PLLC
• Bridgitte Willis-Townsell
• Jessica Willis, FNP-BC
• Mary E Willis, NP
• Kelli Willshire, LCSW
• Jordan P Willsie
• Kent E. Willyard, MD
• Ashlee Lorraine Wilson
• Catherine Wilson

• 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 23, 2024; 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.