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

Mrs. Quatina Willis, LPN

Individual provider Licensed Practical Nurse · NPI 1538417886

Mrs. Quatina Willis, LPN is a Licensed Practical Nurse in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

612 Keswick Village Ct NE
Conyers, GA 30013-6523
Phone: (678) 281-4542
Fax: (678) 253-4118
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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 LPN066567 (GA)

Record details

NPI number1538417886
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedAugust 16, 2012
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

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