Individual provider · Type 1 NPI
Mary Jo Willis, NP
Nurse Practitioner · Madison, WI
Practice location
2880 University Ave
Madison, WI 53705
Fax (608) 833-6932
Mailing address
8007 Excelsior Drive
Madison, WI 53717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 43266 (WI) |
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 1679537294
Mary Jo Willis, NP's National Provider Identifier is 1679537294, issued on Apr 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madison, WI. The record was last updated on Jul 13, 2026.