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MRS. LA JUANA DELL WILLIS CFNP
NPI 1306952932
Nurse Practitioner in Logan, NM

Active since August 23, 2006
600 GALLEGOS, LOGAN, NM 88426(575) 487-9000(575) 487-9002 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. La Juana Dell Willis Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LA JUANA DELL WILLIS CFNP (NPI 1306952932) is an individual nurse practitioner in Logan, New Mexico, licensed in New Mexico (CNP00145) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1306952932
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LA JUANA DELL WILLISCredential: CFNP
Location Address600 GALLEGOSLogan, NM 88426-7602
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(575) 487-9000
Fax(575) 487-9002
Sole ProprietorYes
Enumeration DateAugust 23, 2006
Last NPPES UpdateOctober 21, 2019
✔ NPI 1306952932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · CNP00145
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R14626 (NM)
600 GALLEGOS, Logan, NM 88426
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOGAN FAMILY PRACTICE, LLC
Clinic/Center (Primary Care)
600 GALLEGOS
LOGAN, NM 88426
Quay County (575) 487-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Juana Willis's NPI number?

The NPI number for La Juana Willis is 1306952932. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is La Juana Willis located?

La Juana Willis practices at 600 Gallegos, Logan, NM 88426. The listed phone number is (575) 487-9000.

What is La Juana Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for La Juana Willis was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.