Rebecca Wilson Willis, NP
Individual provider Active NPI Family Nurse Practitioner · Easley, SC
NPI 1477801975 · NPPES record last updated Aug 15, 2012
Key facts
- NPI
- 1477801975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17878 (SC)
- Practice address
- 200 Fleetwood Dr
Easley, SC 29640-2022 - Phone
- (864) 442-7200
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17878 | SC | Yes |
Addresses
Primary practice location
200 Fleetwood Dr
Easley, SC 29640-2022
Mailing address
128 Oak HVN
Pickens, SC 29671-9467
Other providers in Easley, SC
- Janet Sue Wilkinson
- Joanne Mason Wilkinson
- Bonita L Williams
- Roxanne Williams
- Samantha Williams
- Wilson & Wood LLC
- Amber Wilson
- Ben William Wilson Jr.
- Michael Ryan Wilson
- Margaret M Winbourn
All providers in Easley, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.