IndividualActive
Amy Willocks
NPI 1639107352 · Certified Registered Nurse Anesthetist · Bristol, TN
Provider details
- NPI number
- 1639107352
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 70173 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone: (423) 844-1121
Approximate (ZIP-level) locationGet directions
Mailing address
105 W Stone Dr
Kingsport, TN 37660-3365
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2014-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.