Healthcare Provider Details

I. General information

NPI: 1104722198
Provider Name (Legal Business Name): HEATHER LEIGH WILLIAMS MSN-RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2026
Last Update Date: 10/16/2026
Certification Date: 10/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 FRONT RD
TOONE TN
38381-7886
US

IV. Provider business mailing address

370 FRONT RD
TOONE TN
38381-7886
US

V. Phone/Fax

Practice location:
  • Phone: 731-609-6484
  • Fax:
Mailing address:
  • Phone: 731-609-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number251822
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: