Individual
MRS. AMY LYNN WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPA
Contact information
Practice address
1359 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 335-7546
(573) 335-7550
Mailing address
338 HAWTHORNE, JACKSON, MO 63755-8419
(573) 837-2259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011032963
MO
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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