Emma J Willis , LPN
Licensed Practical Nurse • Atlanta, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Emma Willis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Emma Willis, LPN was a registered Licensed Practical Nurse practicing in Atlanta, GA. Throughout an active medical career spanning 12 years, Emma Willis provided care at the practice location at 2605 FAIRBURN RD SW until profile deactivation on 2018-10-24.
Practice Location & Contact Primary Location
2605 Fairburn Rd Sw
Atlanta, GA 303315903
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Atlanta, GA
Practicing in Atlanta, GA (1401 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 24, 2018
NPI status registered as active in NPPES database
Registered at 2605 FAIRBURN RD SW, ATLANTA, GA 303315903 (Tel: 4043468365)
Registered at 3847 STONE RD SW, ATLANTA, GA 303315243 (Tel: 4043491806)
Recorded as EMMA WILLIS, LPN
Licensed Practical Nurse (License #LPN037159 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3847 Stone Rd Sw
Atlanta, GA 303315243
Phone: 4043491806
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