Joseph Dominic Willis in St Petersburg - Nurse Practitioner
Joseph Dominic Willis - NPI 1619082252
Joseph Dominic Willis is a Nurse Practitioner in St Petersburg, Florida. Joseph Dominic Willis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Joseph Dominic Willis is 1619082252. The last update date is 2017-02-13.
Joseph Dominic Willis's current location address is 10974 54th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7275794124. The mailing address for Joseph Dominic Willis is 10974 54th Ave N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Dominic Willis |
|---|---|
| Address | 10974 54th Ave N, St Petersburg, Florida |
| Phone Number | 7275794124 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1619082252 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2017-02-13 |
Provider Mailing Address Detail
| Address | 10974 54th Ave N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337082943 |
| Phone Number | 7275794124 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP1759342 |
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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 certifi |
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What is the unique 10-digit identification code issued to Joseph Dominic Willis by the Centers for Medicare & Medicaid Services?
The Joseph Dominic Willis has been assigned the NPI (National Provider Identifier) 1619082252 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Joseph Dominic Willis?
The Joseph Dominic Willis is physically situated at 10974 54Th Ave N, in the city of St Petersburg, state of FL, with the postal code 337082943.
What is the Joseph Dominic Willis's area of specialization and corresponding taxonomy classification?
The Joseph Dominic Willis's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Joseph Dominic Willis receive the assignment of its 1619082252 from the Centers for Medicare & Medicaid Services?
The Joseph Dominic Willis was issued its 1619082252 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the details related to Joseph Dominic Willis most recently updated or revised?
The information pertaining to Joseph Dominic Willis, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-13.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL