IndividualActive
Alexis Willmore
NPI 1205454402 · Medical Physician Assistant · Saint Joseph, MI
Provider details
- NPI number
- 1205454402
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5601010094 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone: (269) 983-8300
Approximate (ZIP-level) locationGet directions
Mailing address
1234 Napier Ave
Saint Joseph, MI 49085-2112
Additional practice locations (2)
- 1015 Cambridge DrKalamazoo, MI 49001-4414Phone: (269) 290-4331
- 3950 Hollywood Rd Ste 280Saint Joseph, MI 49085-9151Phone: (269) 982-5864
Registry dates
- Enumerated
- 2020-07-14
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.