Healthcare Provider Details

I. General information

NPI: 1134055049
Provider Name (Legal Business Name): STEVEN WALKER WILLIAMS CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 HIGHWAY 78 E
JASPER AL
35501-8907
US

IV. Provider business mailing address

3400 HIGHWAY 78 E
JASPER AL
35501-8907
US

V. Phone/Fax

Practice location:
  • Phone: 205-435-5522
  • Fax:
Mailing address:
  • Phone: 205-435-5522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-169530
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: