Healthcare Provider Details

I. General information

NPI: 1336083260
Provider Name (Legal Business Name): IRIS WELLS WILLIAMS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4799C MOFFETT ROAD
MOBILE AL
36618
US

IV. Provider business mailing address

5500 MARYLAND WAY STE 120
BRENTWOOD TN
37027-4993
US

V. Phone/Fax

Practice location:
  • Phone: 251-341-3531
  • Fax: 251-341-3556
Mailing address:
  • Phone: 844-407-7557
  • Fax: 251-341-3556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF03260889
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: