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Individual
ALICIA JUVONNA WILLIAMS
Active
Individual
ALICIA JUVONNA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R081570
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022035598
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
218003
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281639758
—
AR
05
—
420115020
—
MO
Enumeration date
03/28/2022
Last updated
09/17/2024
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