JENNY LYNN WILLIS NP NPI 1740659135

NPI Information

  • NPI: 1740659135
  • Provider Name: JENNY LYNN WILLIS, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1072 LASKIN RD STE 104
    VIRGINIA BEACH, VA
    ZIP 23451
  • Phone: (757) 648-8605

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NPI Details

Jenny Lynn Willis, NP is a psychiatric/mental health nurse practitioner in Virginia Beach, VA with 11 years of experience. Jenny Lynn Willis, NP NPI is 1740659135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1072 LASKIN RD STE 104
VIRGINIA BEACH, VA
ZIP 23451-387
Phone: (757) 648-8605
Fax: (757) 648-1363

The NPI 1740659135 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 5/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health0001227478VIRGINIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health0024172939VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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