Individual
GENOVA L WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
409 WOODRUFF ST, BRADLEY, AR 71826-8715
(870) 330-6060
(501) 468-0497
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803397
RN LICENSE NUMBER
TX
01
—
AP136038
APRN LICENSE NUMBER
TX
01
—
F11170086
AANP FNP CERTIFICATION NUMBER
—
Enumeration date
03/10/2019
Last updated
04/07/2025
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