Willis, Amber Dawn

Willis, Amber Dawn is an individual health care provider with primary practice located at 1 Good Samaritan Way , Mount Vernon IL 62864-2402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Willis, Amber Dawn can be contacted via phone (618) 899-4600.

Contact Information

Primary practice address
1 Good Samaritan Way Mount Vernon IL 62864-2402
Phone: (618) 899-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.015277 Illinois

Profile Details

NPI number 1326589680
LBN Legal business name Willis, Amber Dawn
Credentials APN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2017
Last updated Mar 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers