Healthcare Provider Details

I. General information

NPI: 1457951576
Provider Name (Legal Business Name): ZSANETT P WILLIAMS DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZSANETT PETER MSN, PMHNP-BC

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 MCCALLIE AVE
CHATTANOOGA TN
37403-2504
US

IV. Provider business mailing address

615 MCCALLIE AVE # C307
CHATTANOOGA TN
37403-2504
US

V. Phone/Fax

Practice location:
  • Phone: 423-425-4438
  • Fax: 423-425-5527
Mailing address:
  • Phone: 423-425-4438
  • Fax: 423-425-5527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number28204
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: