Individual
LADONNA JEAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
46 E STATE HIGHWAY 162, PORTAGEVILLE, MO 63873-9177
(573) 359-1372
(573) 359-3520
Mailing address
46 EAST STATE HIGHWAY 162, PORTAGEVILLE, MO 63873
(573) 391-8031
(573) 391-8050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013026043
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019011201
MO
Other
Enumeration date
08/26/2013
Last updated
02/01/2020
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