Individual
MRS. BRANDI ELIZABETH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
1505 NORTHSIDE BLVD, STE 2800, CUMMING, GA 30041-7623
(770) 886-3842
(770) 886-3843
Mailing address
1505 NORTHSIDE BLVD, STE 2800, CUMMING, GA 30041-7623
(770) 886-3842
(770) 886-3843
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN198776
GA
Other
Enumeration date
12/17/2009
Last updated
05/27/2014
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