Tanya Willis, CNNP
NPI #1306873732 in Jackson, Mississippi
Provider Information
- NPI Number
- 1306873732
- Entity Type
- Individual
- Name
- Tanya Willis, CNNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Neonatal
- Credential
- CNNP
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Jun 14, 2012
Practice Location
- Address
- 2500 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (601) 984-5260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Neonatal — Neonatal |
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