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Carmen Willis is one of 56 nurse practitioners practicing in Lufkin, Texas .
Carmen Willis practices with Oliver Street 5.01(A) Inc.
Registry record (NPPES)
NPI
1861979734
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
495 County Road 971 Cushing, TX 75760-3734 (936) 652-3870
Enumerated
Jul 24, 2018
Record last updated
Jul 24, 2018
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1105 W Frank Ave Suite 320
Lufkin , TX 75904
(936) 585-7770
More nurse practitioners in Lufkin
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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