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

Molly Willis

Individual provider Registered Nurse · NPI 1275921264

Molly Willis is a Nurse Practitioner in San Diego, California. Graduated from Brody School of Medicine at East Carolina University in 2013, 13 years ago. Practices with Community Research Foundation Inc, a 64-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
Brody School of Medicine at East Carolina University
Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

140 Arbor Dr
San Diego, CA 92103-2007
Phone: (619) 543-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95004719 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95042597 (CA)

Record details

NPI number1275921264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2014
Last updated in NPPESDecember 13, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Community Research Foundation Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego