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

Taccara Willis

Individual provider Adult Health Nurse Practitioner · NPI 1275053662

Taccara Willis is a Nurse Practitioner in Lakeland, Florida. Qualified in 2015, 11 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2017
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Practice location Address checks out

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone: (863) 284-5020
Fax: (863) 284-5387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 130 Pablo St, Lakeland, FL 33803-3818 — (863) 687-1100
  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 — (863) 687-1321

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence ARNP9259286 (FL)

Record details

NPI number1275053662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address1324 Lakeland Hills Blvd, Attn: Managed Care, Lakeland, FL 33805

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lakeland