Nicole Willis, NP
Nurse Practitioner, Family in Newport News, VA. Individual provider (NPI-1).
NPI number1609697481
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1609697481
- Entity type
- Individual (NPI-1)
- Name
- Nicole Willis
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2024
- Certification date
- Oct 21, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024191593 | VA | Yes |
Practice location
606 Denbigh Blvd Ste 400Newport News, VA 23608-4437
Phone 757-269-3313
Mailing address
606 Denbigh Blvd Ste 400Newport News, VA 23608-4437
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