Healthcare Provider Details

I. General information

NPI: 1851781751
Provider Name (Legal Business Name): TONI ANGELA WILLIAMS APRN, PMHNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONI ANGELA WASHINGTON RN

II. Dates (important events)

Enumeration Date: 01/29/2015
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 SUMMAR DR
JACKSON TN
38301-3906
US

IV. Provider business mailing address

275 CUMBERLAND BND
NASHVILLE TN
37228-1805
US

V. Phone/Fax

Practice location:
  • Phone: 731-541-8200
  • Fax:
Mailing address:
  • Phone: 615-726-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number19611
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95019745
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number19611
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: