Individual provider · Type 1 NPI

Thomas James Willis, ACNPC-AG

Acute Care Nurse Practitioner · Ocala, FL

NPI number 1104538834 Active

Practice location

2111 SW 20th Pl
Ocala, FL 34471-7734

Fax (352) 622-0102

Mailing address

7606 SW 65th Place Rd
Ocala, FL 34474-1647

Other practice locations

  • 7606 SW 65th Place Rd, Ocala, FL 34474-1647 · (352) 454-5983

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN11023470 (FL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104538834

Thomas James Willis, ACNPC-AG's National Provider Identifier is 1104538834, issued on Dec 13, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ocala, FL. The record was last updated on Jun 24, 2024.