Individual
MICHELLE L WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
25 BUSINESS PARK DR, GREENBRIER, AR 72058-9263
(501) 679-3998
(501) 708-2538
Mailing address
PO BOX 177, GREENBRIER, AR 72058-0177
(501) 679-3998
(501) 708-2538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03492
AR
Other
Enumeration date
02/25/2011
Last updated
07/13/2016
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