Individual
MS. ELIZABETH ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
1200 N STATE ST STE 420, JACKSON, MS 39202-2027
(601) 355-3353
(601) 355-3365
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R835129
MS
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
R835129
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02326761
—
MS
01
—
P01653063
RAILROAD MEDICARE PTAN
MS
Enumeration date
08/03/2006
Last updated
01/03/2022
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