Individual
PHYLLIS LYNN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1901 MELBA DR, DOTHAN, AL 36301-3017
(334) 794-6611
(334) 794-6614
Mailing address
1901 MELBA DR, DOTHAN, AL 36301-3017
(334) 794-6611
(334) 794-6614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1074431
AL
Other
Enumeration date
03/31/2008
Last updated
06/26/2012
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