Active NPIIndividual providerSole proprietor

Mrs. Kimberly Y Willis, NP-C, BSN

Nurse Practitioner in Weymouth, Massachusetts

NPI Number1164601514
Practice location
51 Performance Dr, Weymouth, MA 02189-3104
Fax
—
Last updated
November 1, 2007

Kimberly Y Willis is a Nurse Practitioner based in Weymouth, MA. Kimberly Y Willis practices in Weymouth, MA and has the professional credentials of NP-C, BSN. The NPI Number for Kimberly Y Willis is 1164601514 and holds a License No. 232381 (MA). The current practice location address for Kimberly Y Willis is 51 Performance Dr, Weymouth, MA 02189-3104 and can be reached out via phone at 781-331-9091.

Provider Profile Details

NPI Number
1164601514
Provider Name
Kimberly Y Willis
Credential
NP-C, BSN
Provider Entity Type
Individual
Gender
Female
Address
51 Performance Dr, Weymouth, MA 02189-3104
Phone Number
781-331-9091
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2007
Last Update Date
November 1, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Performance Dr
Weymouth, MA 02189-3104
Zip
02189-3104
Phone Number
781-331-9091
Weymouth, MA 02189Get directions →

Provider Business Mailing Address Details

Address
51 Performance Dr
Weymouth, MA 02189-3104
City
Weymouth
State
MA
Zip
02189-3104
Phone Number
781-331-9091

License Information

License Number
232381
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kimberly Y Willis, NP-C, BSN?

The NPI number of Mrs. Kimberly Y Willis, NP-C, BSN is 1164601514. It was assigned on November 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly Y Willis, NP-C, BSN?

Mrs. Kimberly Y Willis, NP-C, BSN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 232381.

Where does Mrs. Kimberly Y Willis, NP-C, BSN practice?

The practice location is 51 Performance Dr, Weymouth, MA 02189-3104. The office can be reached at 781-331-9091 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164601514 directly on the NPPES registry website.

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