Individual provider · Type 1 NPI

Samantha Willard, APRN

Family Nurse Practitioner · Jacksonville, FL

NPI number 1073418554 Active

Practice location

1232 King St
Jacksonville, FL 32204-4212

Fax (888) 815-1206

Mailing address

PO Box 748817
Atlanta, GA 30374-8817

Other practice locations

  • 12900 Cacao Tree Trl, Jacksonville, FL 32218-3068 · (321) 987-6242

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11051333 (FL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1073418554

Samantha Willard, APRN's National Provider Identifier is 1073418554, issued on Oct 13, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 28, 2026.