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MRS. JOANNE WILLIS LPN
NPI 1700915352
Licensed Practical Nurse in Selden, NY

Active since March 02, 2007
9 BEAR STREET, SELDEN, NY 11784(631) 736-0535 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Joanne Willis Lpn NPPES

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

MRS. JOANNE WILLIS LPN (NPI 1700915352) is an individual licensed practical nurse in Selden, New York, licensed in New York (2742431) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1700915352
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JOANNE WILLISCredential: LPN
Location Address9 BEAR STREETSelden, NY 11784-3803
Mailing Address9 Bear StreetSelden, NY 11784-3803 · (631) 736-0535
Phone(631) 736-0535
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700915352 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 NY · 2742431
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.
9 BEAR STREET, Selden, NY 11784
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Other Identifiers 1

Medicaid02556123NY

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 Joanne Willis's NPI number?

The NPI number for Joanne Willis is 1700915352. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Joanne Willis located?

Joanne Willis practices at 9 Bear Street, Selden, NY 11784. The listed phone number is (631) 736-0535.

What is Joanne 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 Joanne Willis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.