Individual
MR. WILLIAM THOMAS EARNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP, PMHNP-BC
Contact information
Practice address
6719 TAYLOR CIR, MONTGOMERY, AL 36117-7706
(334) 954-6010
(334) 649-6399
Mailing address
6719 TAYLOR CIR, MONTGOMERY, AL 36117-7706
(334) 954-6010
(334) 649-6399
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1-109733
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-109733
AL
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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