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

Dr. Jennifer Michelle Willis, MD

Individual provider Pediatrics Physician · NPI 1063675106

Dr. Jennifer Michelle Willis, MD is a Pediatric Medicine in Orlando, Florida. Qualified in 2005, 21 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group and accepts Medicare assignment. Licensed in Florida, Illinois and Texas.

Years since qualifying
21
Licensed in
FL, IL, TX
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

615 E Princeton St Ste 401
Orlando, FL 32803-1469
Phone: (407) 303-9311
Fax: (407) 303-9273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence ME141361 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME141361 (FL)
Pediatric Nephrology Physician Taxonomy 2080P0210X · Licence Q2152 (TX)
Pediatric Nephrology Physician Taxonomy 2080P0210X · Licence 036 121316 (IL)

Record details

NPI number1063675106
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2008
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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