Individual
SAMANTHA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
18448 MAGNOLIA BRIDGE RD STE A&B, GREENWELL SPRINGS, LA 70739-4626
(225) 256-0063
Mailing address
12931 CARRINGTON PLACE AVE, BATON ROUGE, LA 70817-1205
(913) 515-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200411
LA
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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