Individual
AUDREY LEANN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
401 S CHURCH ST, CHARLESTON, MS 38921-2257
(662) 647-5816
(662) 647-5705
Mailing address
3290 STRIDER RD, SCOBEY, MS 38953-9542
(662) 417-2577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903576
MS
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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