Mary Jo Willis in Madison - Nurse Practitioner
Mary Jo Willis - NPI 1679537294
Mary Jo Willis is a Nurse Practitioner in Madison, Wisconsin. Mary Jo Willis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Jo Willis is 1679537294. The last update date is 2007-07-08.
Mary Jo Willis's current location address is 8007 Excelsior Drive, Madison, Wisconsin. You can contact this provider via phone number 6088295201 and fax number 6088336932. The mailing address for Mary Jo Willis is 8007 Excelsior Drive, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Willis |
|---|---|
| Address | 8007 Excelsior Drive, Madison, Wisconsin |
| Phone Number | 6088295201 |
| Fax Number | 6088336932 |
| Sole Proprietor | X |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1679537294 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8007 Excelsior Drive |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53717 |
| Phone Number | 6088295201 |
| Fax Number | 6088336932 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 43266 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43829500 | WI | -- |
Post Comment/ Review Below
What is the Mary Jo Willis's unique identification number?
The Mary Jo Willis has been assigned the NPI (National Provider Identifier) Number 1679537294 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Mary Jo Willis is located?
The Mary Jo Willis is situated at the following address: 8007 Excelsior Drive, Madison, WI, 53717.
What is the area of specialization for Mary Jo Willis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Jo Willis is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679537294 to Mary Jo Willis?
The Mary Jo Willis received its 1679537294 assignment from the Centers for Medicare & Medicaid Services on 2006-04-12.
When was the information regarding Mary Jo Willis most recently updated?
The details pertaining to the Mary Jo Willis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.