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Dr. Jennifer Michelle Willis, MD

Pediatric Nephrology Physician in Orlando, FL · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063675106

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Registry record

Entity type Individual (Type 1)
Name Dr. Jennifer Michelle Willis
Credential MD
Sex Female
Practice address 615 E Princeton St Ste 401, Orlando, FL, 32803
Phone (407) 303-9311
Fax (407) 303-9273
Enumeration date Jul 9, 2008
Last updated in NPPES Sep 13, 2024

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License ME141361 (FL) Secondary
2080P0210X Pediatric Nephrology Physician Allopathic & Osteopathic Physicians · License Q2152 (TX) Secondary
2080P0210X Pediatric Nephrology Physician Allopathic & Osteopathic Physicians · License 036 121316 (IL) Secondary
2080P0210X Pediatric Nephrology Physician Allopathic & Osteopathic Physicians · License ME141361 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jennifer Willis's NPI record?
Cross-check NPI 1063675106 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1063675106 active?
Yes, as of the latest NPPES snapshot, NPI 1063675106 is active (record last updated 2024-09-13).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-13.