Willis, Charissa Holt
Willis, Charissa Holt is an individual health care provider with primary practice located at 1328 Papermill Pointe Way , Knoxville TN 37909-1903. 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, Charissa Holt can be contacted via phone (865) 212-0530.Contact Information
Primary practice address
1328 Papermill Pointe Way
Knoxville TN 37909-1903
Phone: (865) 212-0530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN0000008233 | Tennessee |
Profile Details
| NPI number | 1760473649 |
|---|---|
| LBN Legal business name | Willis, Charissa Holt |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Feb 24th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760473649 | NPPES |
| Tennessee | MEDICAID | 3902314 |
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