Dr Heather Nicole Willis, PSYD is a
Psychologist - Clinical based in Ft Campbell, Kentucky. Dr Heather Nicole Willis is licensed to practice in Kentucky (license number 129385) and her current practice location is
Blanchfield Army Community Hospital, 650 Joel Dr, Ft Campbell, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 798-8388.
NPI number for Dr Heather Nicole Willis is 1619121944 and her current mailing address is 4555 Trousdale Dr, Nashville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619121944.
Healthcare Provider's Profile
| Full Name | Dr Heather Nicole Willis |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | Blanchfield Army Community Hospital, Ft Campbell, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619121944
- Provider Enumeration Date: 11/13/2008
- Last Update Date: 02/15/2019
Medical Identifiers
Medical identifiers for Dr Heather Nicole Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619121944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 2815 (Tennessee) | Secondary |
| 103TC0700X | Psychologist - Clinical | 129385 (Kentucky) | 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. Dr Heather Nicole 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 |
|---|
Dr Heather Nicole Willis, PSYD
4555 Trousdale Dr,
Nashville, TN 37204-4513
Ph: (615) 781-3000 | Dr Heather Nicole Willis, PSYD
Blanchfield Army Community Hospital, 650 Joel Dr,
Ft Campbell, KY 42223-5318
Ph: (270) 798-8388 |
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