Healthcare Provider Details

I. General information

NPI: 1902798556
Provider Name (Legal Business Name): Y'ESHA WILLIAMS-CLICK PHD, DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9851 HIGHWAY 178 STE B
OLIVE BRANCH MS
38654-3214
US

IV. Provider business mailing address

THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER COLLEGE OF NURSING 874 UNION AVENUE RM 325
MEMPHIS TN
38163-0001
US

V. Phone/Fax

Practice location:
  • Phone: 731-228-9068
  • Fax:
Mailing address:
  • Phone: 901-448-6128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number908582
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: