Healthcare Provider Details

I. General information

NPI: 1376819292
Provider Name (Legal Business Name): HEATHER NICOLE WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER NICOLE FLESHER MD

II. Dates (important events)

Enumeration Date: 03/25/2012
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY
NASHVILLE TN
37232
US

IV. Provider business mailing address

2200 CHILDRENS WAY
NASHVILLE TN
37232-0005
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-0899
  • Fax:
Mailing address:
  • Phone: 615-936-0899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License NumberMD0000056942
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: