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

Individual provider Family Nurse Practitioner · NPI 1922270958

Phyllis Lynn Willis, CRNP is a Nurse Practitioner in Dothan, Alabama. Qualified in 1995, 31 years ago. Practices with Tanana Chiefs Conference, a 149-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
31
Licensed in
AL
In the registry since
2008
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1901 Melba Dr
Dothan, AL 36301-3017
Phone: (334) 794-6611
Fax: (334) 794-6614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1074431 (AL)

Record details

NPI number1922270958
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 31, 2008
Last updated in NPPESJune 26, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Tanana Chiefs Conference — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dothan