Individual
MARY A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, PMHNP-C
Contact information
Practice address
125 HIGHWAY 322, CLARKSDALE, MS 38614
(662) 351-1970
Mailing address
125 HIGHWAY 322, CLARKSDALE, MS 38614-4620
(662) 351-1970
(662) 351-1972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R854909
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
854909
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08038821
—
MS
Enumeration date
12/03/2007
Last updated
04/22/2026
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