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

JORDAN MARIE WILLS NP
NPI 1407776040
Nurse Practitioner in Jacksonville, FL

Q: What is Jordan Wills's NPI number?

The NPI number for Jordan Wills is 1407776040. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Q: What is Jordan Wills's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Wills was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 15, 2026

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

NPPES record added: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 16, 2026, Jul 15, 2026 (2 updates tracked since 2026).

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About Jordan Marie Wills Np NPPES

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

JORDAN MARIE WILLS NP (NPI 1407776040) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11049541) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1407776040

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJORDAN MARIE WILLSCredential: NP

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateJuly 15, 2026

Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1407776040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11049541

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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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