MRS. MARY E WILLIS (NPI# 1477051449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477051449 |
| Entity Type | Individual |
| Full Name | MRS. MARY E WILLIS |
| Credential | NP |
| Practice Address |
10510 Jefferson Ave Ste E Newport News VA 23601-3102 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 7575942846 |
| Practice Fax Number | 7575941714 |
| Mailing Telephone | 7573165800 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024175643 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677406 | Mary Grace Willis | Licensed Vocational Nurse | 232 County Road 2921, Alba, TX 75410-5830 | 2020-10-22 |
| 1417313263 | Mary Willis | Physical Therapy Assistant | 10077 Infinity Ln, Piqua, OH 45356-7512 | 2016-01-10 |
| 1700185964 | Mary Miranda Willis | Licensed Practical Nurse | 303 Rellim Dr, Kent, OH 44240-4531 | 2011-03-26 |
| 1083700652 | Mary Willis | Counselor | 4656 Brambleton Avenue, Roanoke, VA 24018 | 2006-10-04 |
| 1518504620 | Mary Judith Willis | Counselor | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2019-12-08 |
| 1831521269 | Mary Willis | Pharmacist | 3800 Se 22nd Ave, 04004/rds, Portland, OR 97202-2918 | 2013-08-08 |
| 1083992267 | Mary Kristine Willis | Physician Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2011-07-22 |
| 1811223324 | Mary Kay Willis | Specialist/Technologist | 1248 Austin Hwy, Suite 210, San Antonio, TX 78209-4821 | 2009-10-19 |
| 1710127626 | Mary E Willis | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1346499241 | Mary E Willis | Clinic/Center | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2008-09-16 |
| Street Address |
10510 JEFFERSON AVE STE E |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225381437 | Jennifer L Bainum | Nurse Practitioner | 680 Oyster Point Rd, Newport News, VA 23606-4570 | 2012-10-25 |
| 1346888245 | Sarah Austin Richardson | Nurse Practitioner | 895 City Center Blvd Ste 200, Newport News, VA 23606-3080 | 2019-12-11 |
| 1003066119 | Belinda James-petersen | Nurse Practitioner | 606 Denbigh Blvd, Suite 400, Newport News, VA 23608-4413 | 2008-09-25 |
| 1275597767 | Patrice Pennyfeather | Nurse Practitioner | 10510 Jefferson Ave, Suite E, Newport News, VA 23601-3102 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820010 | Grace Yi | Nurse Practitioner | 6737 Stone Maple Ter, Centreville, VA 20121-5750 | 2020-10-29 |
| 1407455660 | Peds First Healthcare LLC | Nurse Practitioner | 7419 Maclachlan Dr, Chesterfield, VA 23838-5345 | 2020-10-20 |
| 1669097978 | Madison Smith | Nurse Practitioner | 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 | 2020-06-11 |
| 1013542349 | Juliet Brown | Nurse Practitioner | 5249 Duke St Ste 303, Alexandria, VA 22304-2907 | 2020-03-06 |
| 1285268441 | Marlene Mayweathers | Nurse Practitioner | 224d Cornwall St Nw Ste 104, Leesburg, VA 20176-2700 | 2020-02-26 |
| 1972143972 | Katelyn Hinderland | Nurse Practitioner | 500 Discovery Dr Ste 302, Chesapeake, VA 23320-3871 | 2020-01-08 |
| 1760030118 | Meghan Elizabeth Hoskins | Nurse Practitioner | 2035 Waterside Rd # 105, Prince George, VA 23875-1265 | 2019-08-29 |
| 1679049092 | Kellie Anne Archer | Nurse Practitioner | 7605 Forest Ave Ste 102, Henrico, VA 23229-4936 | 2018-10-24 |
| 1811471139 | Jessica Tabor Cline | Nurse Practitioner | 900a Rio East Ct, Charlottesville, VA 22901-8040 | 2018-09-21 |
| 1306329222 | Laura Elizabeth Grove | Nurse Practitioner | 1002 Amherst St Ste C, Winchester, VA 22601-3323 | 2018-09-07 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
Please comment or provide details below to improve the information on MRS. MARY E 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.