Christina M Wills
Nurse Practitioner
1107 Crown Pointe Dr Ste 107
Elizabethtown
, Kentucky 42701-7280
Christina M Wills
Nurse Practitioner
1107 Crown Pointe Dr Ste 107
Elizabethtown
, Kentucky 42701-7280
(502) 919-9780
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Christina M Wills
- 120 Executive Park
- Louisville, KY
- Zip : 40207-4201
- Fax : (502) 919-9780
- Phone : (502) 907-0356
Second Address
- Christina M Wills
- 1107 Crown Pointe Dr Ste 107
- Elizabethtown, KY
- Zip : 42701-7280
- Fax : (270) 506-2843
- Phone : (270) 506-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3010911 | KY |
National Provider Identifier
| NPI | 1003351586 |
|---|---|
| Provider Name | Christina M Wills |
| First Address | Louisville, KY 40207-4201 |
| Second Address | Elizabethtown, KY 42701-7280 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2016 |
| Last Update Date | 24/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300005142 | (05) | IN |
| 7100471480 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.