Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa L.m. Willis, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1568030112

Alyssa L.m. Willis, CPNP-PC is a Pediatric Nurse Practitioner in Canton, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone: (770) 224-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 — (770) 844-3200

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN224983 (GA)

Record details

NPI number1568030112
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorYes
NPI enumeratedJune 10, 2021
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

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