Tanya Willis is a Neonatal in Jackson, Mississippi. Tanya Willis practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Tanya Willis is 1306873732. The last update date is 2012-06-14.
Tanya Willis's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845260. The mailing address for Tanya Willis is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya Willis |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845260 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNNP |
NPI Number Detail
| NPI Number | 1306873732 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2012-06-14 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845260 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | R851015 |
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Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7628760 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tanya Willis by the Centers for Medicare & Medicaid Services?
The Tanya Willis has been issued the NPI (National Provider Identifier) 1306873732 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tanya Willis's facilities are geographically located?
The facilities of Tanya Willis are physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Tanya Willis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tanya Willis's specialized field of practice is Neonatal, and the corresponding taxonomy code that categorizes this area of specialization is 363Ln0000X.
On what date did Tanya Willis receive its 1306873732 assignment from the Centers for Medicare & Medicaid Services?
The Tanya Willis was assigned its 1306873732 on 2006-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Tanya Willis's information last updated?
The Tanya Willis's information was last updated on 2012-06-14.