Doctor profile · Federal record
Dr. Tanya Willis, CNNP
Neonatal Nurse Practitioner · Jackson, MS
- NPI 1306873732
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2500 N State St
Jackson, MS 392164500
(601) 984-5260
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- June 14, 2012
- Specialty taxonomy
- 363LN0000X — NUCC code
- State license (1)
- Mississippi #R851015
- Medicaid
- MS #07628760
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306873732. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, INC | 1 | $17.71 |
By nature of payment
Frequently asked questions
What is Dr. Tanya Willis's medical specialty?
Dr. Tanya Willis practices Neonatal Nurse Practitioner in Jackson, MS.
Where does Dr. Tanya Willis practice?
Dr. Tanya Willis practices at 2500 N State St, Jackson, MS 392164500. Office phone: 6019845260.
What is Dr. Tanya Willis's NPI?
Dr. Tanya Willis's National Provider Identifier (NPI) is 1306873732, issued by NPPES.