Individual provider · Type 1 NPI

Mary E. Willis, NP

Pediatric Nurse Practitioner · Newport News, VA

NPI number 1477051449 Active

Practice location

10510 Jefferson Ave Ste E
Newport News, VA 23601-3102

Call (757) 594-2846 Map

Fax (757) 594-1714

Mailing address

856 J Clyde Morris Blvd Ste A
Newport News, VA 23601-1318

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	0024175643 (VA)

Pediatric Nurse Practitioner: Definition to come...

Another provider at this address

Michelle R. Jowdy, DOPediatrics Physician Newport News, VA NPI 1720283112

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About NPI 1477051449

Mary E. Willis, NP's National Provider Identifier is 1477051449, issued on Jan 25, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Newport News, VA. The record was last updated on Jan 25, 2018.