Michelle L Willis (NPI# 1922305051, PAC ID# 5193908945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1922305051 |
| PAC ID by PECOS | 5193908945 |
| Professional Enrollment ID | I20110331000722 |
| Full Name | Michelle L Willis |
| Organization Legal Name | FAMILY FIRST PRIMARY CARE PA |
| Address |
25 Business Park Dr Greenbrier AR 72058-9263 |
| Phone Number | 5016793998 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921324898 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 25 Business Park Dr, Greenbrier, AR 72058-9263 | 5016793998 | FAMILY FIRST PRIMARY CARE PA |
| Organization Legal Name | FAMILY FIRST PRIMARY CARE PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Butler | Family Medicine | Family First Primary Care Pa | 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3626 |
| Tiffany Leanne Mcclain | Nurse Practitioner | Family First Primary Care Pa | 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3626 |
| Monica Spurlin | Nurse Practitioner | Family First Primary Care Pa | 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3626 |
| Laelisha Brenea Patton | Nurse Practitioner | Family First Primary Care Pa | 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3626 |
| Street Address |
25 BUSINESS PARK DR |
| City | GREENBRIER |
| State | AR |
| Zip | 72058-9263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica R Tackett | Family Medicine | Arkansas Health Group | 49 S Broadview St, Suite 1, Greenbrier, AR 72058-8011 |
| Charles R Clifton | Family Medicine | Arkansas Health Group | 49 S Broadview St, Suite 1, Greenbrier, AR 72058-8011 |
| Gary W Bowman | Family Medicine | Arkansas Health Group | 49 S Broadview St, Suite 1, Greenbrier, AR 72058-8011 |
| William Laughlin Hawkins | Family Practice | Arkansas Health Group | 49 S Broadview St, Suite 1, Greenbrier, AR 72058-8011 |
| John Joe Crum | Chiropractic | Jcas, Inc. | 8 -c Wilson Farm Rd, Greenbrier, AR 72058-9310 |
| Amy Crum | Chiropractic | Jcas, Inc. | 8 -c Wilson Farm Rd, Greenbrier, AR 72058-9310 |
| Emily L Garza | Physician Assistant | Conway Regional Medical Center Inc | 110 N Broadview, Greenbrier, AR 72058-9475 |
| Jarrod P Jerry | Nurse Practitioner | Conway Regional Medical Center Inc | 110 N Broadview, Greenbrier, AR 72058-9475 |
| Kristy M Roberts | Family Medicine | Conway Regional Medical Center Inc | 110 N Broadview, Greenbrier, AR 72058-9475 |
| Lauren Blansett | Nurse Practitioner | Conway Regional Medical Center Inc | 110 N Broadview, Greenbrier, AR 72058-9475 |
| Find all physicians in zip 72058 | |||
| City | GREENBRIER |
| Zip Code | 72058 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREENBRIER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle L Willis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.