Healthcare Provider Details

I. General information

NPI: 1205671625
Provider Name (Legal Business Name): LYNDIE ASHLEY WILLIAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 OLIVER RD # B
MONROE LA
71201-5702
US

IV. Provider business mailing address

1301 HUDSON LN
MONROE LA
71201-6007
US

V. Phone/Fax

Practice location:
  • Phone: 318-807-6267
  • Fax: 318-812-6458
Mailing address:
  • Phone: 183-998-3654
  • Fax: 183-807-1620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number236015
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: