MR. MELVIN JAMES WILLIS PA NPI 1700828977

NPI Information

NPI: 1700828977
Provider Name: MR. MELVIN JAMES WILLIS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
JAMES H QUILLEN/VA MEDICAL CENTER
CONER OF SIDNEY & LAMONT
JOHNSON CITY, TN
ZIP 37684
Phone: (423) 926-1171
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MR. Melvin James Willis, PA is a medical physician assistant in Johnson City, TN. MR. Melvin James Willis, PA NPI is 1700828977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

JAMES H QUILLEN/VA MEDICAL CENTER
CONER OF SIDNEY & LAMONT
JOHNSON CITY, TN
ZIP 37684
Phone: (423) 926-1171
Fax: (423) 979-3574

The enumeration date for this NPI number is 6/12/2006 and was last updated on 7/8/2007.

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	363AM0700X	Physician Assistant	Medical	TN 0250	TENNESSEE	Yes

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: 11/14/2023

NPI Synchronization or Removal

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