Healthcare Provider Details

I. General information

NPI: 1235874512
Provider Name (Legal Business Name): KARA H WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 E PAGE AVE
MALVERN AR
72104-4518
US

IV. Provider business mailing address

1308 E PAGE AVE
MALVERN AR
72104-4518
US

V. Phone/Fax

Practice location:
  • Phone: 501-337-9820
  • Fax: 501-468-0478
Mailing address:
  • Phone: 501-337-9820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number217793
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: