Healthcare Provider Details

I. General information

NPI: 1588529796
Provider Name (Legal Business Name): MERCY NKECHINYERE WILLIAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 RIDGEMAR DR
GRAND PRAIRIE TX
75051-3340
US

IV. Provider business mailing address

1647 RIDGEMAR DR
GRAND PRAIRIE TX
75051-3340
US

V. Phone/Fax

Practice location:
  • Phone: 214-606-3667
  • Fax:
Mailing address:
  • Phone: 214-606-3667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF12250342
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: