Juanita Willis
NPI #1295513612 in Belleville, Illinois
Provider Information
- NPI Number
- 1295513612
- Entity Type
- Individual
- Name
- Juanita Willis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Sep 18, 2023
- Last Updated
- Sep 18, 2023
Practice Location
- Address
- 945 BLUE HERON CT
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-3257
- Phone
- (618) 530-1201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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