Healthcare Provider Details

I. General information

NPI: 1730231788
Provider Name (Legal Business Name): JANET O WILLIAMS R.N., B.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 03/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 W 2ND ST.
CROWLEY LA
70526-6703
US

IV. Provider business mailing address

150 E HOYT AVE
CROWLEY LA
70526-6704
US

V. Phone/Fax

Practice location:
  • Phone: 337-788-7511
  • Fax: 337-788-7588
Mailing address:
  • Phone: 337-783-5304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN094659
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: