Individual
ANNA ELIZABETH WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8130 COUNTRY VILLAGE DR STE 103, CORDOVA, TN 38016-2087
(901) 566-1002
Mailing address
8130 COUNTRY VILLAGE DR STE 102, CORDOVA, TN 38016-2087
(901) 308-2915
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000033634
TN
Other
Enumeration date
07/20/2023
Last updated
10/03/2023
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