MRS. Misty Faulk Willis, NURSE PRACTITIONER

NPI #1053645697 in Americus, Georgia

Provider Information

NPI Number
1053645697
Entity Type
Individual
Name
MRS. Misty Faulk Willis, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NURSE PRACTITIONER
Enumeration Date
Sep 30, 2009
Last Updated
Aug 2, 2023

Practice Location

Address
609 E LAMAR ST
State
Georgia
ZIP Code
31709-3737
Phone
(229) 924-8636

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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