Individual provider · Type 1 NPI

Michelle Diane Willis, APRN-CNP

Family Nurse Practitioner · Chickasha, OK

NPI number 1639060171 Active

Practice location

411 W Grand Ave
Chickasha, OK 73018-5862

Mailing address

4133 Blue Ridge Ave
Norman, OK 73072-4043

Other practice locations

  • 1421 NW 122nd St, Oklahoma City, OK 73114-8028 · (405) 286-2888
  • 2212 N Broadway St, Moore, OK 73160-4303 · (405) 285-7222

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X224385 (OK)
Family Nurse Practitioner Primary 363LF0000X224385 (OK)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1639060171

Michelle Diane Willis, APRN-CNP's National Provider Identifier is 1639060171, issued on Jul 14, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chickasha, OK. The record was last updated on Sep 14, 2026.