Kimberly D Willis in Columbia - Nurse Practitioner
Kimberly D Willis - NPI 1558496448
Kimberly D Willis is a Nurse Practitioner in Columbia, South Carolina. Kimberly D Willis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kimberly D Willis is 1558496448. The last update date is 2016-07-08.
Kimberly D Willis's current location address is 166 Stoneridge Drive, Columbia, South Carolina. You can contact this provider via phone number 8034613000 and fax number 8034614903. The mailing address for Kimberly D Willis is 166 Stoneridge Drive, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly D Willis |
|---|---|
| Address | 166 Stoneridge Drive, Columbia, South Carolina |
| Phone Number | 8034613000 |
| Fax Number | 8034614903 |
| Sole Proprietor | N |
| Credentials | ACNP RN |
NPI Number Detail
| NPI Number | 1558496448 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2016-07-08 |
Provider Mailing Address Detail
| Address | 166 Stoneridge Drive |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 29210 |
| Phone Number | 8034613000 |
| Fax Number | 8034614903 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2015 |
|
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 |
|
Post Comment/ Review Below
What is the Kimberly D Willis's unique identification number?
The Kimberly D Willis has been assigned the NPI (National Provider Identifier) Number 1558496448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kimberly D Willis's physical address?
The Kimberly D Willis is physically located at 166 Stoneridge Drive, in the city of Columbia, SC, with the postal code 29210.
What is Kimberly D Willis's area of expertise and its corresponding taxonomy classification?
The Kimberly D Willis's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558496448 to Kimberly D Willis?
The Centers for Medicare & Medicaid Services originally issued the 1558496448 to Kimberly D Willis on 2007-02-22.
When was the information regarding Kimberly D Willis most recently updated?
The details pertaining to the Kimberly D Willis, including its address, specialty, and other relevant information, were last refreshed on 2016-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN