IndividualActive
Jefferson Willis, PMHNP-BC
NPI 1417743113 · Psychiatric/Mental Health Nurse Practitioner · Seaford, DE
Provider details
- NPI number
- 1417743113
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- L8-0010827 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
413 High St
Seaford, DE 19973-3923
Phone: (302) 394-6051
Street-level locationGet directions
Mailing address
28425 Cedar Ridge Dr
Millsboro, DE 19966-2709
Additional practice locations (1)
- 28425 Cedar Ridge DrMillsboro, DE 19966-2709Phone: (479) 387-0995
Registry dates
- Enumerated
- 2025-04-17
- Last updated
- 2025-04-17
- Certified
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.