Individual
DEBRA LUCILLE WILLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP PSYCH
Contact information
Practice address
555 SAINT JOSEPHS BLVD, ELMIRA, NY 14901-3223
(607) 737-7002
(607) 271-3435
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402245
NY
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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