Individual
ELLEN PETERS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1896 HIGHWAY 471, BRANDON, MS 39047-7964
(601) 665-4162
Mailing address
365 CREEKSIDE DR, CHEROKEE, AL 35616-6339
(256) 412-1344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904635
MS
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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