Maggie Willis MSN Aprn BC FNP PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

229222 Issued in TX

Legal business name

MAGGIE WILLIS MSN APRN BC FNP PLLC

Practice address

206 Storrs St
Rockwall, TX 75087-4006

Phone

(972) 772-5000

NPI assigned

Oct 22, 2006

Last updated

May 27, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maggie Willis, FNP

Title

Owner

Phone

(214) 405-0056

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1174606545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 S RIDGEOAK CT",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760876461",
            "telephone_number": "214-405-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 STORRS ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874006",
            "telephone_number": "972-772-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE WILLIS MSN APRN BC FNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-405-0056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "229222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203420902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan M Graham
• Noel Macalisang
• Nancy Macdonald, D.C.
• Hannah Mack
• Amanda Jo Maes, COTA
• Stephanie Dawn Maglisceau, LPC-S
• Evan Barton Magruder
• Erin Mahan, PTA
• Mohamed Nizar N. Mahomed, M.D.
• Katherine R Makohon, M.D.

• Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.