Dr. Tyler Willis, DNP, NP
Nurse Practitioner, Acute Care in Coupeville, WA. Individual provider (NPI-1).
NPI number1689340515
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1689340515
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler Willis
- Credential
- DNP, NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2021
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | AP61540212 | WA | Yes |
| 363L00000X | Nurse Practitioner | AP61540212 | WA | |
| 363LA2100X | Nurse Practitioner, Acute Care | 29874 | TN |
Practice location
121 N Main StCoupeville, WA 98239
Phone 360-678-5151
Mailing address
4840 Davis RdSouthaven, MS 38671-9635
Phone 901-428-9900
Other practice locations
130 W Ravine Rd
Kingsport, TN 37660-3837
Kingsport, TN 37660-3837
Phone 423-224-4000
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