Organization
ADVANCE HEALTHCARE & WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONIA WILLIAMS NURSE PRACTITIONER (FNP-C /OWNER MEDICAL CLINIC)
(901) 216-7457
Entity
Organization
Contact information
Practice address
1331 UNION AVE STE 1148B, MEMPHIS, TN 38104-7509
(901) 216-7457
Mailing address
8093 FALCON DR, OLIVE BRANCH, MS 38654-5619
(901) 216-7457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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