NPI 1518264589

Linda Diane Willis, RN

Practitioner Nurse's Aide Byron, GA

Practice location

Address: 1341 Walker Rd, Byron, GA 31008-5427
Phone: (478) 956-4790
Fax: (478) 956-4790

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 111-R-0756 (GA)

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Registry record

NPI: 1518264589
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2011
Record last updated: 28 Feb 2011

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.