Phyllis Lynn Willis is a Family in Dothan, Alabama. Phyllis Lynn Willis practices all healthcare services and medical treatments related to Family. The NPI Number for Phyllis Lynn Willis is 1922270958. The last update date is 2012-06-26.
Phyllis Lynn Willis's current location address is 1901 Melba Dr, Dothan, Alabama. You can contact this provider via phone number 3347946611 and fax number 3347946614. The mailing address for Phyllis Lynn Willis is 1901 Melba Dr, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Lynn Willis |
|---|---|
| Address | 1901 Melba Dr, Dothan, Alabama |
| Phone Number | 3347946611 |
| Fax Number | 3347946614 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1922270958 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2012-06-26 |
Provider Mailing Address Detail
| Address | 1901 Melba Dr |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 363013017 |
| Phone Number | 3347946611 |
| Fax Number | 3347946614 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1074431 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Phyllis Lynn Willis's unique identification number?
The Phyllis Lynn Willis has been assigned the NPI (National Provider Identifier) Number 1922270958 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Phyllis Lynn Willis's physical address?
The Phyllis Lynn Willis is physically located at 1901 Melba Dr, in the city of Dothan, AL, with the postal code 363013017.
What is Phyllis Lynn Willis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phyllis Lynn Willis's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Phyllis Lynn Willis receive the assignment of its 1922270958 from the Centers for Medicare & Medicaid Services?
The Phyllis Lynn Willis was issued its 1922270958 by the Centers for Medicare & Medicaid Services on 2008-03-31.
When was the information regarding Phyllis Lynn Willis most recently updated?
The details pertaining to the Phyllis Lynn Willis, including its address, specialty, and other relevant information, were last refreshed on 2012-06-26.