Individual provider · Type 1 NPI

John Evan Willis, CRNP

Nurse Practitioner · Madison, AL

NPI number 1275831703 Active

Practice location

300 Sun Temple Dr
Madison, AL 35758-5919

Fax (256) 325-9113

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	1-114309 (AL)

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 1275831703

John Evan Willis, CRNP's National Provider Identifier is 1275831703, issued on Mar 8, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madison, AL. The record was last updated on Aug 27, 2026.