Wills, Amy Leigh
Wills, Amy Leigh is an individual health care provider with primary practice located at 25647 Redwood Hwy , Cave Junction OR 97523-9332. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wills, Amy Leigh can be contacted via phone (541) 592-4111.Contact Information
Primary practice address
25647 Redwood Hwy
Cave Junction OR 97523-9332
Phone: (541) 592-4111
Fax: (541) 494-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201909238NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 201403235NP-PP | Oregon |
Profile Details
| NPI number | 1346653102 |
|---|---|
| LBN Legal business name | Wills, Amy Leigh |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2014 |
| Last updated | Oct 24th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346653102 | NPPES |
| Oregon | Other | R175366 | MEDICARE PTAN |
| Oregon | MEDICAID | 500673795 | MEDICARE PTAN |
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