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

Charlesetta Willis, MHA, MS, RN

Individual provider Registered Nurse · NPI 1104575646

Charlesetta Willis, MHA, MS, RN is a Registered Nurse in Martinez, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MHA — Master of Health Administration
A graduate degree in health management.
MS — Master of Science
A graduate science degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4145 Columbia Rd
Martinez, GA 30907-5400
Phone: (706) 869-7373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Registered Nurse Taxonomy 163W00000X · Licence RN219487 (GA)

Record details

NPI number1104575646
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHA , MS , RN
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESOctober 13, 2022
Certification dateJune 7, 2022
Mailing address860 Willow Lk, Evans, GA 30809-8000

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