DEBRA BROWN WILLIS (NPI# 1780125302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780125302 |
| Entity Type | Individual |
| Full Name | DEBRA BROWN WILLIS |
| Credential | NP |
| Practice Address |
216 Belle Oak Dr Brandon MS 39042-8251 |
| Practice Telephone | 6012098037 |
| Mailing Telephone | 6012098037 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP133899 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2017003142 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2017003142 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2017003142 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295889434 | Debra A Willis | Dentist | 237 Lilly Ln, Wenatchee, WA 98801-9180 | 2007-01-23 |
| 1144434416 | Debra Jane Willis | Counselor | 800 S Church St, Jonesboro, AR 72401-4176 | 2007-05-09 |
| Street Address |
216 BELLE OAK DR |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-8251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782592 | Tm Medical Associates, LLC | Nurse Practitioner | 131 N Moon Ave Ste 3&4, Brandon, FL 33510-4418 | 2017-07-12 |
| 1760886972 | Casey Lee Molumby | Nurse Practitioner | 613 Medical Care Drive, Brandon, FL 33511 | 2014-10-17 |
| 1447666870 | Robert Frank | Nurse Practitioner | 547 E Washington St, Brandon, WI 53919-8558 | 2014-07-07 |
| 1710140488 | Mary Grace Lemmenes | Nurse Practitioner | N4439 Meadow Rd, Brandon, WI 53919-9734 | 2008-07-03 |
| 1912513474 | Andrea Jessica Lynn | Nurse Practitioner | 425 S Kings Ave, Brandon, FL 33511-5919 | 2020-09-21 |
| 1902366495 | Mary Lydia Hall | Nurse Practitioner | 501 Avalon Way Ste C, Brandon, MS 39047-7500 | 2019-03-21 |
| 1528524980 | Yendrys Calderin | Nurse Practitioner | 110 Lithia Pinecrest Rd Ste H, Brandon, FL 33511-5300 | 2019-02-11 |
| 1033613070 | Sabrina Sportman | Nurse Practitioner | 635 Eichenfeld Dr, Brandon, FL 33511-5908 | 2018-03-23 |
| 1205349594 | Todd Joseph Smith | Nurse Practitioner | 61 Court Dr, Brandon, VT 05733-8407 | 2017-11-09 |
| 1235673310 | Elena Nelson | Nurse Practitioner | 605 Medical Care Dr, Brandon, FL 33511-5942 | 2016-12-08 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.