Provider Demographics
NPI:1710484829
Name:WILLIS, CHRISTY LYNN (MSN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:LYNN
Last Name:WILLIS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 JOE BATTLE BLVD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0962
Mailing Address - Country:US
Mailing Address - Phone:915-249-4344
Mailing Address - Fax:915-250-4178
Practice Address - Street 1:1840 JOE BATTLE BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0962
Practice Address - Country:US
Practice Address - Phone:915-249-4344
Practice Address - Fax:915-250-4178
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135669163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice