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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALYSSA L.M. WILLIS, CPNP-PC

Active Sole Proprietor

ALYSSA L.M. WILLIS, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in CANTON, Georgia. NPI 1568030112 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · CANTON, GA

Registration Details

NPI Number
1568030112
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2021 (5.1793524547596 yrs)
Last Updated
Jan 29, 2026
License
RN224983 (GA)
Sole Proprietor
Yes

Practice Information

Address
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA, 301158015
Browse GA providers · Browse ZIP 30115
Phone
7702241000
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in CANTON, GA

Name Credential NPI
STEPHANIE HEATON ANDERSON PNP, DNP, RNCS 1609087972
SARAH GASPERSON NP 1295487379
ERIN BARDONNER SUSTACHEK APRN 1952016396
MEGAN LENA WANDER SUTER CPNP-PC 1740145424
ASHLEY BURTON 1295690667
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.