Willis, Steven Grant

Willis, Steven Grant is an individual health care provider with primary practice located at 7544 Jacque Rd , Hudson FL 34667-7162. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Willis, Steven Grant can be contacted via phone (727) 372-1005.

Contact Information

Primary practice address
7544 Jacque Rd Hudson FL 34667-7162
Phone: (727) 372-1005
Fax: (727) 372-1009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH 9385 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11023236 Florida

Profile Details

NPI number 1447454970
LBN Legal business name Willis, Steven Grant
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Dec 9th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447454970 NPPES
Florida Other 2200L BCBS
Florida MEDICAID 001841600 BCBS

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