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Individual

MRS. BRENDA LYNN WILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
919 S 10TH ST, LEESVILLE, LA 71446-4613
(337) 239-2207
(337) 239-2583
Mailing address
7946 HIGHWAY 10, PITKIN, LA 70656-4567
(337) 208-1680

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213832
LA

Other

Enumeration date
06/12/2020
Last updated
08/26/2025
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