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General NPI Number Information
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NPI Number | 1730520388
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Entity Type | Individual
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Provider Name | MITZI DIGNOS WILLIAMS APRN-C
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Gender | Female
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 620 SKYLINE DR
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City | JACKSON
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State | TN
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Zip | 38301-3923
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Country | US
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Telephone | 731-422-0213
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Fax | 731-422-0409
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | JACKSON
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State | TN
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Zip | 38302-0400
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Country | US
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Telephone | 731-425-5752
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Fax | 731-422-0409
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN0000017585
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APN0000017585
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License Number State | TN
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