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

Jennifer Louise Willis, MD

Individual provider Family Medicine Physician · NPI 1275731424

Jennifer Louise Willis, MD is a Family Practice in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2006, 20 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2007
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

1300 N 12th St Ste 605
Phoenix, AZ 85006-2848
Phone: (602) 239-4567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81372 (AZ)

Record details

NPI number1275731424
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESNovember 16, 2007

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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