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

Tanya Willis, CNNP

Individual provider Neonatal Nurse Practitioner · NPI 1306873732

Tanya Willis, CNNP is a Neonatal Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5260
Show map & directions

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

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence R851015 (MS)

Record details

NPI number1306873732
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNNP
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJune 14, 2012

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