Individual
NICOLE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
606 DENBIGH BLVD STE 400, NEWPORT NEWS, VA 23608-4437
(757) 269-3313
Mailing address
606 DENBIGH BLVD STE 400, NEWPORT NEWS, VA 23608-4437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024191593
VA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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