Willis, La Juana Dell

Willis, La Juana Dell is an sole proprietor health care provider with primary practice located at 600 Gallegos , Logan NM 88426-7602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Willis, La Juana Dell can be contacted via phone (575) 487-9000.

Contact Information

Primary practice address
600 Gallegos Logan NM 88426-7602
Phone: (575) 487-9000
Fax: (575) 487-9002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP00145 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R14626 New Mexico

Profile Details

NPI number 1306952932
LBN Legal business name Willis, La Juana Dell
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Oct 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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