SHARRONDA WILLIS CNP NPI 1457020737

NPI Information

  • NPI: 1457020737
  • Provider Name: SHARRONDA WILLIS, CNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 511 PERRY ST
    DEFIANCE, OH
    ZIP 43512
  • Phone: (419) 782-9920

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NPI Details

Sharronda Willis, CNP is a psychiatric/mental health nurse practitioner in Defiance, OH with 1 years of experience. Sharronda Willis, CNP NPI is 1457020737. 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:

511 PERRY ST
DEFIANCE, OH
ZIP 43512-123
Phone: (419) 782-9920

The NPI 1457020737 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 9/9/2021 and was last updated on 9/26/2024.

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
1163W00000XRegistered NurseRN.449819MICHIGANNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.0037346OHIOYes

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: 3/30/2025

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