Dawna J. Willis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7247 Issued in TN

Practice address

3444 Plaza Ave
Memphis, TN 38111-4614

Phone

(513) 698-1858

NPI assigned

Sep 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Tunica County Healthcare AuthorityGroup PAC ID 6608898499, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dawna.willis@krogerhealth.eclinicaldirectplus.com

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.

• The Little Clinic of Tennessee LLC

  • Family Nurse Practitioner
  • White House, TN
  • NPI 1487848800
  Medicare reassignment Care Compare group NPD
• Trinity Elite Wellness

  • Clinic/Center
  • Memphis, TN
  • NPI 1881284891
  NPD Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1649429119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 PLAZA AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114614",
            "telephone_number": "513-698-1858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11273 Highway 61 N",
            "address_purpose": "LOCATION",
            "city": "Robinsonville",
            "state": "MS",
            "postal_code": "386649705",
            "country_code": "US",
            "telephone_number": "662-363-3224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1813 Highway 61 N",
            "address_purpose": "LOCATION",
            "city": "Tunica",
            "state": "MS",
            "postal_code": "386769683",
            "country_code": "US",
            "telephone_number": "662-363-3224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2838 Hickory Hill Rd Ste 29",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381152161",
            "country_code": "US",
            "telephone_number": "901-676-6218",
            "fax_number": "901-425-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DAWNA",
        "middle_name": "J.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7247",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "A810629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Willis, B.A.
• Bobbie Willis, AGACNP-BC
• Brittany Willis, DDS
• Christina Marie Willis, DNP, CNM
• David Willis, M.D., PH.D.
• Linda K Willis, MS
• Marshay Willis
• Melanie Coleen Willis
• Sherrell Denise Willis
• Courtney Taylor Willoughby, PHARMD

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.