Individual provider · Type 1 NPI
Regina Renee Willis, N.P.
Occupational Health Nurse Practitioner · Bossier City, LA
NPI number
1306904412
Active
Practice location
5015 Shed Rd Ste 500
Bossier City, LA 71111-5587
Fax (318) 741-4496
Mailing address
5015 Shed Rd
Bossier City, LA 71111-5584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP05016 (LA) |
| Acute Care Nurse Practitioner | 363LA2100X | RN054611 (LA) |
| Occupational Health Nurse Practitioner Primary | 363LX0106X | AP05016 (LA) |
Occupational Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1306904412
Regina Renee Willis, N.P.'s National Provider Identifier is 1306904412, issued on Dec 4, 2006. The primary taxonomy on file is Occupational Health Nurse Practitioner (363LX0106X), and the practice location is in Bossier City, LA. The record was last updated on Aug 19, 2026.