Individual
MRS. CONNIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1860 CHADWICK DR, SUITE 256, JACKSON, MS 39204-3463
(601) 376-1394
(601) 376-2005
Mailing address
1860 CHADWICK DR, SUITE 256, JACKSON, MS 39204-3463
(601) 376-1394
(601) 376-2005
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
901467
MS
Other
Enumeration date
04/19/2016
Last updated
08/21/2020
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