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WENDY WILLIS
NPI 1477367183
Licensed Vocational Nurse in Sacramento, CA

Active since February 03, 2025
4990 STOCKTON BLVD, SACRAMENTO, CA 95820(916) 822-8973 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wendy Willis NPPES

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

WENDY WILLIS (NPI 1477367183) is an individual licensed vocational nurse in Sacramento, California, licensed in California (C202431) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1477367183
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameWENDY WILLIS
Location Address4990 STOCKTON BLVDSacramento, CA 95820-5406
Mailing Address3343 Rio Linda BlvdSacramento, CA 95838-4353 · (916) 521-3017
Phone(916) 822-8973
Sole ProprietorYes
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 3, 2025
✔ NPI 1477367183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · C202431
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
4990 STOCKTON BLVD, Sacramento, CA 95820
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Other Providers at the Same Location NPPES 2

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

WELLSPACE HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
4990 STOCKTON BLVD
SACRAMENTO, CA 95820
Sacramento County (916) 737-5555
COUNTY OF SACRAMENTO
Community/Behavioral Health
4990 STOCKTON BLVD
SACRAMENTO, CA 95820
Sacramento County (916) 874-2407

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 Wendy Willis's NPI number?

The NPI number for Wendy Willis is 1477367183. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Wendy Willis located?

Wendy Willis practices at 4990 Stockton Blvd, Sacramento, CA 95820. The listed phone number is (916) 822-8973.

What is Wendy Willis's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Wendy Willis was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.