Lisa Jo Willis, APRN | |
2811 New Hartford Rd Ste B, Owensboro, KY 42303-1384 | |
(270) 215-0234 | |
Not Available |
Full Name | Lisa Jo Willis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2811 New Hartford Rd Ste B, Owensboro, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841986536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3018301 (Kentucky) | Primary |
Entity Name | Carrico Congleton Family Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750665162 PECOS PAC ID: 4880866631 Enrollment ID: O20111020000523 |
Mailing Address | Practice Location Address |
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Lisa Jo Willis, APRN 2811 New Hartford Rd Ste B, Owensboro, KY 42303-1384 Ph: (270) 215-0234 | Lisa Jo Willis, APRN 2811 New Hartford Rd Ste B, Owensboro, KY 42303-1384 Ph: (270) 215-0234 |
Kim Ann Harley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 Mayfair Dr Ste 102, Owensboro, KY 42301 Phone: 270-688-1351 Fax: 270-688-3342 | |
Mrs. Catherine Elizabeth Bowlds, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-929-5731 | |
Calla M Hass, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St, # A, Owensboro, KY 42303 Phone: 270-686-8500 Fax: 270-685-5467 | |
Kimberly Michelle Gilstrap, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Frederica St, Owensboro, KY 42301 Phone: 270-684-0023 | |
Jennifer Erin Brenner, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 E Parrish Ave Ste 100, Owensboro, KY 42303 Phone: 270-688-1770 | |
Olivia Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3419 Wathens Xing, Owensboro, KY 42301 Phone: 270-313-8426 | |
Justen L. Bickett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1325 Triplett St # A, Owensboro, KY 42303 Phone: 270-686-8500 Fax: 270-685-5467 |