Individual
SHENETTA LATRICE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
619 S STATE ST, CLARKSDALE, MS 38614-6319
(662) 966-1012
Mailing address
81 BLEDSOE ST, GRENADA, MS 38901-3711
(662) 809-1277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906164
MS
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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