Individual
MS. LATONIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8093 FALCON DR, OLIVE BRANCH, MS 38654-5619
(901) 216-7457
Mailing address
8093 FALCON DR, OLIVE BRANCH, MS 38654-5619
(901) 216-7457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24647
TN
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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