Healthcare Provider Details

I. General information

NPI: 1063321255
Provider Name (Legal Business Name): KRISTI MORGAN WILLIAMS BSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 ELLIOTT RD
GREENBRIER AR
72058-8030
US

IV. Provider business mailing address

91 ELLIOTT RD
GREENBRIER AR
72058-8030
US

V. Phone/Fax

Practice location:
  • Phone: 501-336-4866
  • Fax:
Mailing address:
  • Phone: 501-336-4866
  • Fax: 501-679-7670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR56183
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: