Individual provider · Type 1 NPI

Stephanie Ann Willis, RN

Nurse Practitioner · Norfolk, VA

NPI number 1720616873 Active

Practice location

601 Childrens Ln
Norfolk, VA 23507-1910

Fax (757) 668-7568

Mailing address

811 Redgate Ave
Norfolk, VA 23507-1515

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024179867 (VA)
Registered Nurse 163W00000X0001244829 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720616873

Stephanie Ann Willis, RN's National Provider Identifier is 1720616873, issued on Apr 1, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Norfolk, VA. The record was last updated on Dec 21, 2021.