Individual
SUMMER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
705 E MARSHALL AVE STE 5000, LONGVIEW, TX 75601-5660
(903) 315-3646
Mailing address
705 E MARSHALL AVE STE 5000, LONGVIEW, TX 75601-5660
(903) 315-3646
(903) 230-8056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140446
TX
363LF0000X
Family Nurse Practitioner
AP140446
TX
Other
Enumeration date
04/10/2019
Last updated
06/02/2022
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