Stephanie Willis, is a
Health Educator based in Grayson, Georgia. Stephanie Willis is licensed to practice in * (Not Available) (license number ) and her current practice location is
684 Grayson Pkwy, Grayson, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 353-6658.
NPI number for Stephanie Willis is 1871240002 and her current mailing address is 969 Mill Bend Dr, Lawrenceville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871240002.
Healthcare Provider's Profile
| Full Name | Stephanie Willis |
|---|
| Gender | Female |
|---|
| Speciality | Health Educator |
|---|
| Location | 684 Grayson Pkwy, Grayson, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871240002
- Provider Enumeration Date: 03/08/2022
- Last Update Date: 03/08/2022
Medical Identifiers
Medical identifiers for Stephanie Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871240002 | NPI | - | NPPES |
| NONE | Other | GA | NONE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | 744042 (Georgia) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie Willis,
969 Mill Bend Dr,
Lawrenceville, GA 30044-6146
Ph: (850) 368-5790 | Stephanie Willis,
684 Grayson Pkwy,
Grayson, GA 30017-1211
Ph: (678) 353-6658 |
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