Individual
RAVEN SHANISE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 293-0594
(870) 394-9476
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6260
TN
363A00000X
Physician Assistant
8040
AZ
363A00000X
Physician Assistant
Primary
PA-1504
AR
363A00000X
Physician Assistant
PA00656
MS
Other
Enumeration date
05/18/2019
Last updated
06/24/2026
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