Individual provider · Type 1 NPI

Alyssa L.m. Willis, CPNP-PC

Pediatric Nurse Practitioner · Canton, GA

NPI number 1568030112 Active

Practice location

450 Northside Cherokee Blvd
Canton, GA 30115-8015

Mailing address

1654 Fair Oak Way
Mableton, GA 30126-5754

Other practice locations

  • 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 · (770) 844-3200

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN224983 (GA)

Pediatric Nurse Practitioner: Definition to come...

136 other providers at this address

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About NPI 1568030112

Alyssa L.m. Willis, CPNP-PC's National Provider Identifier is 1568030112, issued on Jun 10, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Canton, GA. The record was last updated on Jan 29, 2026.