IndividualActive
Alisa Willoughby
NPI 1316625585 · Psychiatric/Mental Health Nurse Practitioner · Ethel, LA
Provider details
- NPI number
- 1316625585
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 230786 (LA)
Mailing address
8719 Battle Rd
Ethel, LA 70730-4007
Registry dates
- Enumerated
- 2023-07-07
- Last updated
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.