Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP3268662 | FL |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN0000015491 | TN |
NPI | 1013904002 |
---|---|
Provider Name | Suzanne Williams |
First Address | Nashville, TN 37232-9119 |
Second Address | Nashville, TN 37232-9119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 23/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300675100 | (05) | FL |