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MR. SAMUEL CONNER WILLIS DNP
NPI 1427635630
Nurse Practitioner - Family in Pell City, AL

Active since March 24, 2021
84 CROPWELL DRIVE, PELL CITY, AL 35128(205) 606-4273 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2023, Mar 24, 2021 (2 updates tracked since 2021).

About Mr. Samuel Conner Willis Dnp NPPES

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

MR. SAMUEL CONNER WILLIS DNP (NPI 1427635630) is an individual family provider in Pell City, Alabama, licensed in Alabama (1-175937) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1427635630
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAMUEL CONNER WILLISCredential: DNP
Location Address84 CROPWELL DRIVEPell City, AL 35128-7366
Mailing Address84 Cropwell DrivePell City, AL 35128 · (205) 813-2079
Phone(205) 606-4273
Sole ProprietorYes
Enumeration DateMarch 24, 2021
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1427635630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-175937
84 CROPWELL DRIVE, Pell City, AL 35128
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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 Samuel Willis's NPI number?

The NPI number for Samuel Willis is 1427635630. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Samuel Willis located?

Samuel Willis practices at 84 Cropwell Drive, Pell City, AL 35128. The listed phone number is (205) 606-4273.

What is Samuel Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Samuel Willis was last updated on May 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.