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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMANTHA WILLARD APRN
NPI 1073418554
Nurse Practitioner - Family in Jacksonville, FL

Active since October 13, 2026
1232 KING ST, JACKSONVILLE, FL 32204(904) 384-3699(888) 815-1206 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Oct 13, 2026 (2 updates tracked since 2026).

About Samantha Willard Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA WILLARD APRN (NPI 1073418554) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11051333) and active in the NPI registry since October 2026. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1073418554
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA WILLARDCredential: APRN
Location Address1232 KING STJacksonville, FL 32204-4212
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Phone(904) 384-3699
Fax(888) 815-1206
Sole ProprietorNo
Enumeration DateOctober 13, 2026
Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1073418554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11051333
1232 KING ST, Jacksonville, FL 32204
Open in Google Maps ↗

Secondary Practice Location 1

Location 112900 Cacao Tree TrlJacksonville, FL 32218-3068 · Phone (321) 987-6242

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOMEN'S CARE FLORIDA LLC
Obstetrics & Gynecology
1232 KING ST
JACKSONVILLE, FL 32204
Duval County (904) 245-1328
CAUSEY DUNLAP HEBEL MD
Obstetrics & Gynecology
1232 KING ST
JACKSONVILLE, FL 32204
Duval County (904) 384-3699
KENDA SAFAR RDN
Dietitian, Registered
1232 KING ST
JACKSONVILLE, FL 32204
Duval County (904) 821-7556
ERIN HALE BURNETT MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1232 KING ST
JACKSONVILLE, FL 32204
Duval County (904) 821-7556
AMY EDENFIELD SHULER CNM
Advanced Practice Midwife
1232 KING ST
JACKSONVILLE, FL 32204
Duval County (904) 384-3699
MELANIE CONCEPCION PEREZ APRN
Nurse Practitioner (Family)
1232 KING ST
JACKSONVILLE, FL 32204
Duval County (904) 384-3699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Willard's NPI number?

The NPI number for Samantha Willard is 1073418554. It was assigned to this individual provider in the NPPES registry on October 13, 2026.

Where is Samantha Willard located?

Samantha Willard practices at 1232 King St, Jacksonville, FL 32204. The listed phone number is (904) 384-3699.

What is Samantha Willard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Samantha Willard was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.