REVONDA WILLS (NPI# 1932722485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932722485 |
| Entity Type | Individual |
| Full Name | REVONDA WILLS |
| Practice Address |
365 Courthouse Rd Princeton WV 24740-2431 |
| Practice Telephone | 3044253922 |
| Mailing Telephone | 3044253922 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
105555 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
365 COURTHOUSE RD |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699082974 | Melissa Ann Hurst | Family Medicine | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2010-09-08 |
| 1619537834 | Matthew Lee Terry | Nurse Practitioner | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2019-06-19 |
| 1003237819 | Laboratory Corporation of America | Clinical Medical Laboratory | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2013-12-20 |
| 1730512377 | Danny Houston Dunbar Jr. | Physician Assistant | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2013-08-19 |
| 1750713269 | Mary Ann Lester | Physician Assistant | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2013-08-07 |
| 1245461656 | William Joseph Goode | Physician Assistant | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2009-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1699313916 | Alla Hodges | Nurse Practitioner | 1507 Jonathan Ct, Princeton, NJ 08540-9565 | 2019-12-17 |
| 1760027692 | Florence J Choge | Nurse Practitioner | 3626 Route 1, Princeton Wound Care Center, Princeton, NJ 08450-5922 | 2019-11-14 |
| 1538701313 | Kanan H. Bhatt | Nurse Practitioner | 29 Rutgers Ln, Princeton, NJ 08540-7934 | 2019-10-12 |
| 1255994950 | Alicia Arkell | Nurse Practitioner | 515 Mercer St, Princeton, WV 24740-3109 | 2019-04-17 |
| 1639681265 | Melissa S Mclain | Nurse Practitioner | 530 Park Ave E Ste 207, Princeton, IL 61356-3902 | 2017-11-05 |
| 1124538830 | Shandalyn Ann Cerda | Nurse Practitioner | 321 Timbercreek Ct, Princeton, TX 75407-5738 | 2017-10-08 |
| 1790092195 | Sarah Megan Spencer | Nurse Practitioner | 402 East Dr, Princeton, WV 24740 | 2010-09-07 |
| 1043443229 | Lynn Marie Calvert | Nurse Practitioner | 311 E Princeton Dr, Princeton, TX 75407-9008 | 2009-09-03 |
| 1275757619 | Sara T Ingraffia | Nurse Practitioner | Princeton University Health Serv Mccosh Health Ctr, Washington Road, Princeton, NJ 08544-0001 | 2007-04-13 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.