Individual provider · Type 1 NPI
Raishelle Lavette Willis, FNP-C
Family Nurse Practitioner · Florissant, MO
NPI number
1518440189
Active
Practice location
2695 Mockingbird Ln
Florissant, MO 63031-3711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2018027756 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1518440189
Raishelle Lavette Willis, FNP-C's National Provider Identifier is 1518440189, issued on Sep 10, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Florissant, MO. The record was last updated on Sep 10, 2018.