Healthcare Provider Details

I. General information

NPI: 1174119937
Provider Name (Legal Business Name): SARAH WILLIAMS, APRN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2020
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22461 INTERSTATE 30 STE 402
BRYANT AR
72022-2383
US

IV. Provider business mailing address

3858 FREEDOM CV
BENTON AR
72015-9750
US

V. Phone/Fax

Practice location:
  • Phone: 501-481-8800
  • Fax:
Mailing address:
  • Phone: 501-481-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH WILLIAMS
Title or Position: OWNER
Credential: DNP, APRN
Phone: 501-481-8800