Individual provider · Type 1 NPI
Mariah Jelesa Willis, NP
Family Nurse Practitioner · Sun City Center, FL
NPI number
1528919552
Active
Practice location
7215 Jenkins Vista Ct
Sun City Center, FL 33573-0240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11045311 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1528919552
Mariah Jelesa Willis, NP's National Provider Identifier is 1528919552, issued on Feb 5, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sun City Center, FL. The record was last updated on Feb 5, 2026.