Alisa Willoughby
Alisa Willoughby is a Nurse Practitioner in Ethel, Louisiana. Qualified in 2023, 3 years ago. Practices with Senior Psychcare of Louisiana, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 3
- Licensed in
- LA
- In the registry since
- 2023
Practice location Address checks out
8719 Battle RdEthel, LA 70730-4007
Phone: (225) 205-9473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 230786 (LA) |
|---|
Record details
| NPI number | 1316625585 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 7, 2023 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
| Mailing address | 8719 Battle Rd, Ethel, LA 70730-4007 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Senior Psychcare Of Louisiana, Llc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |