MEDICARE: KAREN P WILLIAMS APN

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
1	363LF0000X	Family Nurse Practitioner	APN.0992135-NP	CO

General Provider Information

NPI Number	:	1275830978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN P WILLIAMS APN

Provider Business Mailing Address
First Line	:	4772 NAVY RD STE A
Second Line	:
City	:	MILLINGTON
State	:	TN
Zip	:	38053-1927
Country	:	US
Telephone Number	:	901-873-0930
Fax Number	:	901-873-0931

Provider Business Practice Location Address
First Line	:	4772 NAVY RD STE A
Second Line	:
City	:	MILLINGTON
State	:	TN
Zip	:	38053-1927
Country	:	US
Telephone Number	:	901-873-0930
Fax Number	:	901-873-0931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	11/03/2021

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