Individual
KAITLYN RUSSELL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 265-1000
Mailing address
7454 CRESVIEW LN, DORA, AL 35062-2292
(205) 275-2990
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-157407
AL
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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