Nancy Louise Willis, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN038406 Issued in GA

Practice address

2602 S Marlan Ave
Springfield, MO 65804-3809

Phone

(404) 326-8580

NPI assigned

Jul 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1245801943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 S MARLAN AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 S MARLAN AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043809",
            "telephone_number": "404-326-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "NANCY",
        "middle_name": "LOUISE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN038406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Jean Williams
• Stephanie Williams
• Tara L Williams, MS, LPC
• Wren Williams, MT-BC, NMT
• Elizabeth M Williamson, PT, PH.D.
• Willow Branch Counseling
• Brooke Wills, MS, CCC-SLP
• Travis Willyerd
• Amanda Kay Wilson, APRN
• Corbin A Wilson, MS, LPC

• Registered Nurse in Springfield, MO
• Providers in Springfield, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.