Individual provider · Type 1 NPI

Brianna Alexa Willard

Nurse Practitioner · Charlotte, NC

NPI number 1265308837 Active

Practice location

1021 Morehead Medical Dr Ste A
Charlotte, NC 28204-2990

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5023599 (NC)
Acute Care Nurse Practitioner 363LA2100X257066 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265308837

Brianna Alexa Willard's National Provider Identifier is 1265308837, issued on Oct 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 7, 2026.