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JACQUELINE EVA WILLIS NURSE PRACTITIONER
NPI 1073908281
Nurse Practitioner - Psychiatric/Mental Health in Rio Rancho, NM

Active since April 03, 2015
4101 BARBARA LOOP SE, SUITE D, RIO RANCHO, NM 87124(505) 892-6348 Get Directions Write a Review

NPPES record last updated: April 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Eva Willis Nurse Practitioner NPPES

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

JACQUELINE EVA WILLIS NURSE PRACTITIONER (NPI 1073908281) is an individual psychiatric/mental health provider in Rio Rancho, New Mexico, licensed in New Mexico (CNP02617) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1073908281
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELINE EVA WILLISCredential: NURSE PRACTITIONER
Location Address4101 BARBARA LOOP SE, SUITE DRio Rancho, NM 87124-1009
Mailing Address4101 Barbara Loop Se, Suite DRio Rancho, NM 87124-1009 · (505) 892-6348
Phone(505) 892-6348
Sole ProprietorYes
Enumeration DateApril 3, 2015
✔ NPI 1073908281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · CNP02617
4101 BARBARA LOOP SE, Rio Rancho, NM 87124
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Other Names 1

Professional Name (2)Miss Jacqueline Eva Willis Nurse Practitioner

Other Providers at the Same Location NPPES 2

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

DR. JANICE MARION PENN PHD
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
4101 BARBARA LOOP SE, SUITE D
RIO RANCHO, NM 87124
Sandoval County (505) 892-3639
GUIDANCE FOUNDATION INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4101 BARBARA LOOP SE, SUITE D
RIO RANCHO, NM 87124
Sandoval County (505) 892-3639

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 Jacqueline Willis's NPI number?

The NPI number for Jacqueline Willis is 1073908281. It was assigned to this individual provider in the NPPES registry on April 3, 2015. The provider is also known as Miss Jacqueline Eva Willis Nurse Practitioner.

Where is Jacqueline Willis located?

Jacqueline Willis practices at 4101 Barbara Loop SE Suite D, Rio Rancho, NM 87124. The listed phone number is (505) 892-6348.

What is Jacqueline Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jacqueline Willis was last updated on April 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.