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COURTNEY MARIE WILLIS
NPI 1104719459
Pharmacist - Infectious Diseases in Jacksonville, FL

Active since June 03, 2025
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Marie Willis NPPES

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

COURTNEY MARIE WILLIS (NPI 1104719459) is an individual infectious diseases provider in Jacksonville, Florida, licensed in Florida (PS53352) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104719459
Entity TypeIndividualFemale
Primary Taxonomy1835I0206X
Provider Legal NameCOURTNEY MARIE WILLIS
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address14042 Saddlehill CtJacksonville, FL 32258-5515 · (407) 920-1568
Phone(904) 953-2000
Sole ProprietorYes
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1104719459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Infectious DiseasesPharmacy Service Providers
Taxonomy Code1835I0206X
License✔ Licensed in FL · PS53352
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the use of microbiology and pharmacology to develop, implement, and monitor drug regimens that incorporate antimicrobials to optimize therapy for patients.
4500 SAN PABLO RD S, Jacksonville, FL 32224
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Other Names 1

Professional Name (2)Courtney Marie Willis Pharmacist

Other Providers at the Same Location NPPES 20

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

KATHERINE L WALSH PA-C/MPH
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
DR. JAMI ANN ROTHE KINNUCAN M.D.
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
GLENN SHI MD
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MICHELLE TULANG MD
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
RICARDO PAGAN MD
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
CRYSTAL LYNN CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
LAUREN E FREED CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MRS. MELINA VOLNER SOMMESE PA-C
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2594

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 Courtney Willis's NPI number?

The NPI number for Courtney Willis is 1104719459. It was assigned to this individual provider in the NPPES registry on June 3, 2025. The provider is also known as Courtney Marie Willis Pharmacist.

Where is Courtney Willis located?

Courtney Willis practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Courtney Willis's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Infectious Diseases, with taxonomy code 1835I0206X.

When was this NPI record last updated?

The NPPES record for Courtney Willis was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.