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Individual

CHRISTY LYNN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 760-6318
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN84954-AGPCNP-BC
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
84954
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730624198
WV
Enumeration date
12/21/2016
Last updated
06/19/2020
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