# ALICIA JUVONNA WILLIAMS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215687637
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R081570 | AR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2022035598 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 218003 | AR | Yes |

## Other

- **Enumeration date:** 03/28/2022
- **Last updated:** 09/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 281639758 | — | AR |
| 05 | — | 420115020 | — | MO |