Healthcare Provider Details

I. General information

NPI: 1871326736
Provider Name (Legal Business Name): ALLYSON KAY WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2024
Last Update Date: 08/24/2024
Certification Date: 08/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N 12TH ST
MURRAY KY
42071-3632
US

IV. Provider business mailing address

620 CROSSLAND RD
PURYEAR TN
38251-3600
US

V. Phone/Fax

Practice location:
  • Phone: 270-873-2022
  • Fax:
Mailing address:
  • Phone: 573-318-8146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4026743
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: