Individual
REBECCA SUSANNE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 S MOUNT AUBURN RD STE 342, CAPE GIRARDEAU, MO 63703-4911
(573) 331-5677
(573) 331-5678
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017033714
MO
363LF0000X
Family Nurse Practitioner
209016632
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULTI SPECIALTY GROUP
IL
Enumeration date
10/04/2017
Last updated
03/03/2021
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