Jennifer R Willis
NP | Nurse Practitioner | 20+ years Exp
601 S Floyd St Ste 700, Louisville
Kentucky, 40202-1845
502-629-7181
Jennifer R Willis is a Louisville, Kentucky based nurse practitioner with 20 years of experience in Nurse Practitioner. She completed her graduation in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer R Willis is 3006899 in Kentucky. Her current practice location is 601 S Floyd St Ste 700, Louisville. Patients can reach her at 502-629-7181 or can fax her at 502-629-6957. Jennifer R Willis is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1043526064.
Jennifer R Willis has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jennifer R Willis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jennifer R Willis |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 20+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2005 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 601 S Floyd St Ste 700, Louisville,
Kentucky, 40202-1845 |
| Phone: | 502-629-7181 |
| Fax: | 502-629-6957 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5597946640 |
| Enrollment ID: | I20120801000557 |
| NPI Number: | 1043526064 |
| NPI Enumeration Date: | 27 Aug, 2010 |
| NPI Last Update On: | 17 Oct, 2016 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer R Willis are as mentioned below.
| License Number | Specialization | State | Status | |
| 3006899 | | Kentucky | Primary | |
| 28178246A | Registered Nurse | Indiana | Secondary | |
| 1083742 | Registered Nurse | Kentucky | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jennifer R Willis is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Community Medical Associates Inc (7012811284) | 988 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer R Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000772805 | Other | Kentucky | ANTHEM-NMFM |
| 137155 | Other | Kentucky | SIHO - NMFM |
| 50040392 | Other | Kentucky | PASSPORT - NMFM |
| 201009490 | Medicaid | Indiana | |
| 7100205410 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jennifer R Willis
Po Box 766351,
Chicago, Illinois |
| Zip: | 60677-6351 |
| Phone Number: | 502-588-9490 |
| Fax Number: | 502-272-5116 |
Patients can reach Jennifer R Willis at
601 S Floyd St Ste 700, Louisville, Kentucky or can
call to book an appointment on 502-629-7181.
Comments/ Reviews:
Patients can read all the reviews posted for Jennifer R Willis below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Jennifer R Willis. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.