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MRS. QUATINA WILLIS LPN
NPI 1538417886
Licensed Practical Nurse in Conyers, GA

Active since August 16, 2012
612 KESWICK VILLAGE CT NE, CONYERS, GA 30013(678) 281-4542(678) 253-4118 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Quatina Willis Lpn NPPES

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

MRS. QUATINA WILLIS LPN (NPI 1538417886) is an individual licensed practical nurse in Conyers, Georgia, licensed in Georgia (LPN066567) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1538417886
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. QUATINA WILLISCredential: LPN
Location Address612 KESWICK VILLAGE CT NEConyers, GA 30013-6523
Mailing Address612 Keswick Village Ct NeConyers, GA 30013-6523 · (678) 800-5091 · Fax (678) 609-0592
Phone(678) 281-4542
Fax(678) 253-4118
Sole ProprietorYes
Enumeration DateAugust 16, 2012
Last NPPES UpdateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1538417886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN066567
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
612 KESWICK VILLAGE CT NE, Conyers, GA 30013
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Other Providers at the Same Location NPPES 3

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

EQW SOLUTIONS
Non-emergency Medical Transport (VAN)
612 KESWICK VILLAGE CT NE
CONYERS, GA 30013
Rockdale County (678) 800-5091
HEART OF AN ANGEL NURSING SOLUTIONS, LLC
In Home Supportive Care
612 KESWICK VILLAGE CT NE
CONYERS, GA 30013
Rockdale County (678) 800-5091
THE RESOURCEFUL NURSE CONCIERGE SERVICE, LLC
General Practice
612 KESWICK VILLAGE CT NE
CONYERS, GA 30013
Rockdale County (678) 800-5091

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 Quatina Willis's NPI number?

The NPI number for Quatina Willis is 1538417886. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Quatina Willis located?

Quatina Willis practices at 612 Keswick Village Ct NE, Conyers, GA 30013. The listed phone number is (678) 281-4542.

What is Quatina Willis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Quatina Willis was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.