Individual provider · Type 1 NPI
Melania J. Willis, ARNP
Pediatric Nurse Practitioner · Live Oak, FL
NPI number
1013927995
Active
Practice location
701 Ohio Ave S
Live Oak, FL 32064-3816
Fax (386) 208-1380
Mailing address
7500 S County Road 125
Macclenny, FL 32063-5328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2734962 (FL) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Live Oak
About NPI 1013927995
Melania J. Willis, ARNP's National Provider Identifier is 1013927995, issued on Aug 9, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Live Oak, FL. The record was last updated on Jul 8, 2007.