Individual
ALYSSA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM-TN
Contact information
Practice address
760 SAVAGE BOLES RD, WILDER, TN 38589-5030
(931) 261-6085
Mailing address
708 S HOLLY ST, MONTEREY, TN 38574-1314
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
117
TN
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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