Ms Emily Willis, PMHNP-BC, APRN | |
1061 Kenwood Dr, Russell, KY 41169-1527 | |
(606) 408-3143 | |
(606) 325-8486 |
Full Name | Ms Emily Willis |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1061 Kenwood Dr, Russell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093460024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0030795 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3018046 (Kentucky) | Primary |
Entity Name | Ashland Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053748913 PECOS PAC ID: 7719882521 Enrollment ID: O20031204000877 |
Mailing Address | Practice Location Address |
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Ms Emily Willis, PMHNP-BC, APRN Po Box 1595, Ashland, KY 41105-1595 Ph: () - | Ms Emily Willis, PMHNP-BC, APRN 1061 Kenwood Dr, Russell, KY 41169-1527 Ph: (606) 408-3143 |
Stephanie Richardson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Kenwood Dr, Russell, KY 41169 Phone: 606-408-3143 Fax: 606-325-8486 | |
Emily Allen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1061 Kenwood Dr, Russell, KY 41169 Phone: 606-408-3143 Fax: 606-325-8486 | |
Erin Quillen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 Ferry St, Russell, KY 41169 Phone: 606-585-3055 | |
Carrie Elizabeth Mcguire, APRN,PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Kenwood Dr, Russell, KY 41169 Phone: 606-408-3143 | |
Sandra L Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Kenwood Dr, Russell, KY 41169 Phone: 606-408-3143 Fax: 606-325-8486 | |
Kimberly Ann Osborne, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1061 Kenwood Dr, Russell, KY 41169 Phone: 606-408-3143 |