Candace S Willis, FNP is a
Nurse Practitioner - Family physician based in Erin, Tennessee. Candace S Willis is licensed to practice in Tennessee (license number APN16883) and her current practice location is 5001 E Main St, Erin, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 289-4211.
NPI number for Candace S Willis is 1659627388 and her current mailing address is 5001 E Main St, Erin, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659627388.
Physician's Profile
| Full Name | Candace S Willis |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 5001 E Main St, Erin, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659627388
- Provider Enumeration Date: 07/31/2012
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Candace S Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659627388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | APN16883 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | APN16883 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | APN16883 (Tennessee) | Secondary |
| 208000000X | Pediatrics | APN16883 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | APN16883 (Tennessee) | Secondary |
| 208600000X | Surgery | APN16883 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN16883 (Tennessee) | 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. Candace S 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 |
|---|
Candace S Willis, FNP
5001 E Main St,
Erin, TN 37061-4115
Ph: (931) 289-4211 | Candace S Willis, FNP
5001 E Main St,
Erin, TN 37061-4115
Ph: (931) 289-4211 |
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