Individual
MS. GWENDOLYN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
401 CATCHINGS AVE, INDIANOLA, MS 38751-2468
(662) 887-2494
(662) 887-3208
Mailing address
401 CATCHINGS AVE, INDIANOLA, MS 38751-2468
(662) 887-2494
(662) 887-3208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
349327
NY
363LF0000X
Family Nurse Practitioner
Primary
R745811
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124148
—
MS
Enumeration date
11/20/2006
Last updated
01/30/2023
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