Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Willis was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 03, 2015

4011 BARBARA LOOP SE STE 203, RIO RANCHO, NM 87124(505) 994-4503(505) 891-1495 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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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 Address4011 BARBARA LOOP SE STE 203Rio Rancho, NM 87124-1041

Mailing Address4011 Barbara Loop Se Ste 203Rio Rancho, NM 87124-1041 · (505) 994-4503 · Fax (505) 891-1495

Phone(505) 994-4503

Fax(505) 891-1495

Sole ProprietorYes

Enumeration DateApril 3, 2015

Last NPPES UpdateAugust 25, 2026

NPPES CertifiedAugust 25, 2026

✔ 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

4011 BARBARA LOOP SE STE 203, Rio Rancho, NM 87124

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Other Names 1

Professional Name (2)Miss Jacqueline Eva Willis Nurse Practitioner

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 4011 Barbara Loop SE Ste 203, Rio Rancho, NM 87124. The listed phone number is (505) 994-4503.

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 August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.