person
Tyler Willis
Acute Care Nurse Practitioner in Kingsport, Tennessee
NPI 1689340515

Tyler Willis is an Acute Care Nurse Practitioner based in Southaven, TN and is specialized in Acute Care. Tyler Willis practices in Kingsport, TN. The NPI Number for Tyler Willis is 1689340515 and holds a License No. 29874 (Tennessee).

The current practice location address for Tyler Willis is 130 W Ravine Rd, Kingsport, TN and can be reached out via phone at 423-224-4000. You can also correspond with Tyler Willis through the mailing address at 4840 DAVIS RD, SOUTHAVEN, MS - 38671-9635 (mailing address contact number: 901-428-9900).

Location: 130 W Ravine Rd, Kingsport, TN, 38671-9635
person
Provider Profile Details
NPI Number
1689340515
Provider Name
Tyler Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 W Ravine Rd, Kingsport, TN, 38671-9635
Phone Number
423-224-4000
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 W Ravine Rd
City
State
Zip
37660-3837
Phone Number
423-224-4000
Fax Number
person
Provider Business Mailing Address Details
Address
4840 Davis Rd
City
State
Zip
38671-9635
Phone Number
901-428-9900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
29874 (Tennessee)
Definition
Definition to come...
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