Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083536403 Individual Practitioner Female Practitioner

Kellie Jean Willis , LPN

Licensed Practical Nurse • Clarksville, AR

Professional Overview & Biography Verified Profile Summary

Kellie Willis, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Clarksville, AR. Practice services are available at 1701 W CLARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 W Clark Rd

Clarksville, AR 728303915

Telephone 4797749290
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Clarksville, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Clarksville, AR (822 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-28
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License AR 120805

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Amy White , MS, SLP

Speech-Language Pathologist

NPI 1134350010

Master of Science, Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2026

Registered at 1701 W CLARK RD, CLARKSVILLE, AR 728303915 (Tel: 4797749290)

📍
Updated Business Mailing Address July 28, 2026

Registered at 1701 W CLARK RD, CLARKSVILLE, AR 728303915 (Tel: 4797749290)

👤
Provider Name / Credentials Updated July 28, 2026

Recorded as KELLIE WILLIS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2026

Licensed Practical Nurse (License #120805 in AR)

🟢
Initial NPI Registration & Enumeration July 28, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kellie Willis. Be the first to share your experience!

Sign in to leave a review for Kellie Willis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083536403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2026
Last Update: July 28, 2026
Sole Proprietor: No

Mailing Address

1701 W Clark Rd

Clarksville, AR 728303915

Phone: 4797749290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.