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LAQUANIA WILLIAMS NURSE PRACTITIONER

Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1063912046

Individual Registrant:
 LAQUANIA  WILLIAMS NURSE PRACTITIONER
Gender: F
Sole Proprietor

Location and contact information for practice:
470 COUNTY ROAD 471  VARDAMAN, MS 38878-9770 US
Tel: 662-628-0621  Fax: --

Contact information for business:
470 COUNTY ROAD 471  VARDAMAN, MS 38878-9770 US
Tel: --  Fax: --

Registration Information:
NPI: 1063912046
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
MS901863
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95008190

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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