DR. JENNIFER MICHELLE WILLIS (NPI# 1063675106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063675106 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MICHELLE WILLIS |
| Other Name | DR. JENNIFER MICHELLE WILLIS |
| Credential | MD |
| Practice Address |
615 E Princeton St Ste 401 Orlando FL 32803-1469 |
| Practice Telephone | 4073039311 |
| Practice Fax Number | 4073039273 |
| Mailing Telephone | 4073039311 |
| Mailing Fax Number | 4073039273 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME141361 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Q2152 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
036 121316 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659766970 | Jennifer Cena Willis | Registered Nurse | 6389 Marbella Ln, Eastvale, CA 91752-7313 | 2015-04-02 |
| 1023368081 | Jennifer Ray Willis | Social Worker | 700 Lampton Ln, Mcalester, OK 74501-7028 | 2012-09-17 |
| 1124306543 | Jennifer Willis | Contractor | 6060 N Central Expy Ste 500, Dallas, TX 75206-5209 | 2011-08-02 |
| 1104864255 | Jennifer Beth Willis | Social Worker | 2103 Golf Course Road Se, Suite A, Rio Rancho, NM 87124-2071 | 2006-06-02 |
| 1427043983 | Jennifer Tricia Willis | Nurse Anesthetist, Certified Registered | 2608 Crest Valley Drive, Conyers, GA 30094 | 2005-09-12 |
| 1841815453 | Jennifer Willis | Pharmacist | 2400 Mountain Dr Ste 104, Hoover, AL 35226-1569 | 2020-06-09 |
| 1982249199 | Jennifer Willis | Massage Therapist | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2019-11-12 |
| 1598268724 | Jennifer Stewart Willis | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2018-03-14 |
| 1356859847 | Jennifer Willis | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-18 |
| 1831578277 | Jennifer Willis | Physical Therapy Assistant | 1 Donham Plz Fl 4, Middletown, OH 45042-1932 | 2015-05-19 |
| Street Address |
615 E PRINCETON ST STE 401 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992752372 | Regino P. Gonzalez Peralta | Pediatrics | 615 E Princeton St Ste 401, Orlando, FL 32803-1469 | 2006-05-30 |
| 1487167664 | Angela Delfina Aquino Mitra Perez | Nurse Practitioner | 615 E Princeton St Ste 401, Orlando, FL 32803-1469 | 2017-11-10 |
| 1780068544 | Jennifer Elise Armstrong | Nurse Practitioner | 615 E Princeton St Ste 401, Orlando, FL 32803-1469 | 2015-07-11 |
| 1134418726 | Amelia Bianca Thompson | Pediatrics | 615 E Princeton St Ste 401, Orlando, FL 32803-1469 | 2011-04-04 |
| 1457684524 | Fatma Levent | Pediatrics | 615 E Princeton St Ste 401, Orlando, FL 32803 | 2009-09-08 |
| 1851528103 | Sridhar Reddy Goli | Pediatrics | 615 E Princeton St Ste 401, Orlando, FL 32803 | 2009-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329355 | Brittani Newport | Pediatrics | 10743 Narcoossee Rd Ste A13, Orlando, FL 32832-6946 | 2020-02-24 |
| 1467091959 | Jennifer Dolcater Ketchersid | Pediatrics | 2501 N Orange Ave Ste 586, Orlando, FL 32804-4603 | 2019-12-31 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1467977454 | Physician Associates LLC | Pediatrics | 14065 Town Loop Blvd Ste 300, Orlando, FL 32837-6199 | 2017-08-10 |
| 1609320837 | Starus Pediatrics LLC | Pediatrics | 6001 Vineland Rd Ste 103, Orlando, FL 32819-7829 | 2016-08-04 |
| 1942656517 | Vijay Mehta | Pediatrics | 60 W Gore St # Mp373, Orlando, FL 32806 | 2016-05-12 |
| 1124401674 | Kelsey Wehrenberg | Pediatrics | 83 Columbia St Ste 202, Orlando, FL 32806 | 2015-07-01 |
| 1396138319 | Premier Physician Associates LLC | Pediatrics | 13651 Hunters Oak Dr, Ste 101, Orlando, FL 32837-7679 | 2015-03-16 |
| 1073917076 | Abdollah Iravani Md Pa | Pediatrics | 2106 N Orange Ave # 100, Orlando, FL 32804-5535 | 2014-10-20 |
| 1720407620 | Christopher Dudek | Pediatrics | 86 W Underwood St Ste 200, Orlando, FL 32806-1110 | 2014-04-08 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on DR. JENNIFER MICHELLE WILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.