MRS. CHARITY BAKER WILLIS ARNP NPI 1609235357

NPI Information

NPI: 1609235357
Provider Name: MRS. CHARITY BAKER WILLIS, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1155 PERIMETER CTR FL 11
ATLANTA, GA
ZIP 30338
Phone: (404) 383-4368
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MRS. Charity Baker Willis, ARNP is a family nurse practitioner in Atlanta, GA with 8 years of experience. MRS. Charity Baker Willis, ARNP NPI is 1609235357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1155 PERIMETER CTR FL 11
ATLANTA, GA
ZIP 30338-463
Phone: (404) 383-4368

The NPI 1609235357 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 7/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN9342970	FLORIDA	No
2	363L00000X	Nurse Practitioner		RN934970	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	ARNP9342970	FLORIDA	No
4	363LF0000X	Nurse Practitioner	Family	294190	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1609235357	OTHER	FLORIDA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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