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

Jonathan Walter Willoughby, DNPDETBSNRN

Individual provider Nurse Practitioner · NPI 1841973443

Jonathan Walter Willoughby, DNPDETBSNRN is a Nurse Practitioner in North Liberty, Iowa. Qualified in 2025, 1 year ago. Practices with Physicians Clinic of Iowa PC, a 133-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
1
Licensed in
IA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

345 N Juniper St
North Liberty, IA 52317-7821
Phone: (319) 206-6165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence A185262 (IA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 164027 (IA)

Record details

NPI number1841973443
Entity typeIndividual (Type 1)
GenderMale
Credentials DNPDETBSNRN
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

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)
Group practice Physicians Clinic Of Iowa Pc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in North Liberty