Kellie Jean Willis, LPN
Licensed Practical Nurse in Clarksville, AR. Individual provider (NPI-1).
NPI number1083536403
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1083536403
- Entity type
- Individual (NPI-1)
- Name
- Kellie Jean Willis
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 120805 | AR | Yes |
Practice location
1701 W Clark RdClarksville, AR 72830-3915
Phone 479-774-9290
Mailing address
1701 W Clark RdClarksville, AR 72830-3915
Phone 479-774-9290
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Other Licensed Practical Nurse providers in Clarksville, AR
- Michelle Bogges, LPNNPI 1710225248
- Gaye Lynne Farmer, L.P.N.NPI 1679050397
- Hope Grissom, LPNNPI 1245408160
- Delores Ann Williams, LPNNPI 1467609685
All 5 Licensed Practical Nurse providers in Clarksville · All 623 providers in Clarksville
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