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NPI Code Detail

MEDICARE: MRS. EDNA ELIZABETH WILLIAMS APRN

MEDICARE:  MRS. EDNA ELIZABETH WILLIAMS  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3006826KY

General Provider Information

NPI Number : 1043516016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EDNA ELIZABETH WILLIAMS APRN
Provider Business Mailing Address
First Line : PO BOX 907
Second Line :
City : JACKSON
State : KY
Zip : 41339-0907
Country : US
Telephone Number : 606-666-5142
Fax Number : 606-666-4172
Provider Business Practice Location Address
First Line : 832 HIGHWAY 15 N
Second Line :
City : JACKSON
State : KY
Zip : 41339-8284
Country : US
Telephone Number : 606-666-5142
Fax Number : 606-666-4172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2011
Last Update Date : 02/08/2011

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Directions to “ MRS. EDNA ELIZABETH WILLIAMS APRN” Practice Location

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