Individual provider · Type 1 NPI

Juanita Willis

Registered Nurse · Belleville, IL

NPI number 1295513612 Active

Practice location

945 Blue Heron Ct
Belleville, IL 62223-3257

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2001019201 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1295513612

Juanita Willis's National Provider Identifier is 1295513612, issued on Sep 18, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Belleville, IL. The record was last updated on Sep 18, 2023.