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

Kellie Jean Willis, LPN

Individual provider Licensed Practical Nurse · NPI 1083536403

Kellie Jean Willis, LPN is a Licensed Practical Nurse in Clarksville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2026.

Licensed in
AR
In the registry since
2026
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

1701 W Clark Rd
Clarksville, AR 72830-3915
Phone: (479) 774-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 120805 (AR)

Record details

NPI number1083536403
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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