Samantha Willard, APRN
Nurse Practitioner, Family in Jacksonville, FL. Individual provider (NPI-1).
NPI number1073418554
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1073418554
- Entity type
- Individual (NPI-1)
- Name
- Samantha Willard
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2026
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11051333 | FL | Yes |
Practice location
1232 King StJacksonville, FL 32204-4212
Phone 904-384-3699 · Fax 888-815-1206
Mailing address
Po Box 748817Atlanta, GA 30374-8817
Phone 813-286-0033 · Fax 813-282-1806
Other practice locations
12900 Cacao Tree Trl
Jacksonville, FL 32218-3068
Jacksonville, FL 32218-3068
Phone 321-987-6242
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