Jacob Willis
Nurse Practitioner, Family in Butte, MT. Individual provider (NPI-1).
NPI number1437782810
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1437782810
- Entity type
- Individual (NPI-1)
- Name
- Jacob Willis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2020
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NUR-APRN-LIC-157870 | MT | Yes |
Practice location
445 Centennial AveButte, MT 59701-2870
Phone 406-723-4075
Mailing address
445 Centennial AveButte, MT 59701-2870
Phone 406-723-4075 · Fax 406-496-6035
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All 34 Family Nurse Practitioner providers in Butte · All 1,051 providers in Butte
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