Individual provider · Type 1 NPI
Angelique Willis, APRN
Nurse Practitioner · St. Augustine, FL
Practice location
217 Ashbrook St
St. Augustine, FL 32084-0086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11042009 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1053282129
Angelique Willis, APRN's National Provider Identifier is 1053282129, issued on Sep 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 13, 2025.