Healthcare Provider Details

I. General information

NPI: 1023537248
Provider Name (Legal Business Name): ANGELA DAWN WILLIAMS FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5321 BEVERLY PARK CIR
KNOXVILLE TN
37918-9253
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE STE 118
GREENWOOD VILLAGE CO
80111-4724
US

V. Phone/Fax

Practice location:
  • Phone: 865-687-1321
  • Fax:
Mailing address:
  • Phone: 720-638-0846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22993
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number22993
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: