Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 1157522 | AL |
NPI | 1023582301 |
---|---|
Provider Name | Ms. Ashley Bain Williamson |
First Address | Anniston, AL 36207-4716 |
Second Address | Anniston, AL 36207-4716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2019 |
Last Update Date | 08/10/2020 |