Individual
MRS. SHARON PATRICE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(478) 256-2901
Mailing address
5829 SANDY POINT RD, LIZELLA, GA 31052-7003
(478) 256-2901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN147460
GA
Other
Enumeration date
08/16/2011
Last updated
09/18/2020
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