Individual
LUELLA A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
15024 MARTIN LUTHER KING JR BLVD, GULFPORT, MS 39501-8306
(228) 864-0003
(228) 864-0273
Mailing address
PO BOX 475, BILOXI, MS 39533-0475
(228) 374-2494
(228) 374-2713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R628301
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114438
—
MS
Enumeration date
03/02/2006
Last updated
11/04/2011
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