Individual
TISHA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2240 DREW AVE S, MINNEAPOLIS, MN 55416-3646
(952) 985-0747
(952) 400-8802
Mailing address
2240 DREW AVE S, MINNEAPOLIS, MN 55416-3646
(952) 985-0747
(952) 400-8802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP144040
TX
363LF0000X
Family Nurse Practitioner
F10190145
TX
Other
Enumeration date
10/13/2019
Last updated
02/22/2026
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