IndividualActive
Alyssa Willis, CPM-TN
NPI 1073239422 · Midwife · Wilder, TN
Provider details
- NPI number
- 1073239422
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- CPM-TN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 117 (TN)
Specialties & taxonomies
Other Service Providers
Practice location
760 Savage Boles Rd
Wilder, TN 38589-5030
Phone: (931) 261-6085
Approximate (ZIP-level) locationGet directions
Mailing address
708 S Holly St
Monterey, TN 38574-1314
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.