Healthcare Provider Details

I. General information

NPI: 1669397097
Provider Name (Legal Business Name): JENNIE LOUISE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 E MAIN ST
MURFREESBORO TN
37130-4043
US

IV. Provider business mailing address

3673 PORTERFIELD RD
READYVILLE TN
37149-5113
US

V. Phone/Fax

Practice location:
  • Phone: 615-809-2632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9401
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: