Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelique Willis, APRN

Individual provider Nurse Practitioner · NPI 1053282129

Angelique Willis, APRN is a Nurse Practitioner in Saint Augustine, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

217 Ashbrook St
Saint Augustine, FL 32084-0086
Phone: (904) 599-9192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11042009 (FL)

Record details

NPI number1053282129
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 13, 2025
Last updated in NPPESSeptember 13, 2025
Certification dateSeptember 13, 2025
Mailing address217 Ashbrook St, Saint Augustine, FL 32084-0086

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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