IndividualActive
Courtney Willis
NPI 1104719459 · Infectious Diseases Pharmacist · Jacksonville, FL
Provider details
- NPI number
- 1104719459
- Entity type
- Individual
- Primary specialty
- Infectious Diseases PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS53352 (FL)
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Mailing address
14042 Saddlehill Ct
Jacksonville, FL 32258-5515
Registry dates
- Enumerated
- 2025-06-03
- Last updated
- 2025-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.