NPI 1073239422

Alyssa Willis, CPMTN

Practitioner Midwife Wilder, TN

Practice location

Address: 760 Savage Boles Rd, Wilder, TN 38589-5030
Phone: (931) 261-6085
Mailing address: 708 S Holly St, Monterey, TN 38574-1314

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 117 (TN)

Other Midwife providers in Tennessee →

Registry record

NPI: 1073239422
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2022
Record last updated: 18 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.