Individual
DENA M WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-1800
Mailing address
PO BOX 78, 201 LANTANA, BUSHLAND, TX 79012
(806) 678-0585
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
612850
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP117769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381513602
—
TX
01
—
P02600068
MCRR
TX
Enumeration date
05/09/2011
Last updated
04/12/2021
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