Individual provider · Type 1 NPI

Amelia Willis, CPNP-PC

Pediatric Nurse Practitioner · Austin, TX

NPI number 1679129720 Active

Practice location

9835 N Lake Creek Pkwy
Austin, TX 78717-6210

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1012636 (TX)
Pediatric Nurse Practitioner 363LP0200X283152 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1679129720

Amelia Willis, CPNP-PC's National Provider Identifier is 1679129720, issued on Aug 14, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Austin, TX. The record was last updated on Aug 13, 2026.