Individual
HOLLY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 GLENLAKE PKWY STE 120, ATLANTA, GA 30328-7270
(800) 736-3739
Mailing address
808 WILLIVEE DR, DECATUR, GA 30033-4750
(678) 699-8630
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024181340
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95021595
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95021595
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11012845
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN211263
GA
Other
Enumeration date
06/15/2020
Last updated
03/20/2024
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