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

Emily Willis

Individual provider Family Nurse Practitioner · NPI 1346027752

Emily Willis is a Nurse Practitioner in Tavares, Florida. Qualified in 2023, 3 years ago. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023

Practice location Address checks out

1825 Salk Ave
Tavares, FL 32778-4311
Phone: (352) 343-1158
Fax: (352) 505-9302
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11028516 (FL)

Record details

NPI number1346027752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address1825 Salk Ave, Tavares, FL 32778-4311

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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