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LAQUANIA WILLIAMS NURSE PRACTITIONER
Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1063912046
Individual Registrant: LAQUANIA WILLIAMS NURSE PRACTITIONER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
470 COUNTY ROAD 471 VARDAMAN, MS 38878-9770 US
Tel: 662-628-0621 Fax: --
Tel: 662-628-0621 Fax: --
Contact information for business:
470 COUNTY ROAD 471 VARDAMAN, MS 38878-9770 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1063912046
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care | MS | 901863 |
| Y | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95008190 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
