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

Deidra Willis, A-GNP

Individual provider Primary Care Nurse Practitioner · NPI 1114452901

Deidra Willis, A-GNP is a Primary Care Nurse Practitioner in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017

Practice location Address checks out

6439 Garners Ferry Rd
Columbia, SC 29209-1638
Phone: (803) 776-4000
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 20835 (SC)

Record details

NPI number1114452901
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP
Sole proprietorNo
NPI enumeratedApril 29, 2017
Last updated in NPPESApril 29, 2017

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