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NPI 1851781751

NPI 1851781751 : TONI ANGELA WILLIAMS APRN, PMHNP, FNP : JACKSON, TN

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General NPI Number Information
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    NPI Number           |    1851781751
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    Entity Type          |    Individual 
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    Provider Name        |    TONI ANGELA WILLIAMS APRN, PMHNP, FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/29/2015
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    Last Update Date     |    05/28/2024
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Provider Practice Location Address
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    Address Line         |    238 SUMMAR DR 
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    City                 |    JACKSON
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    State                |    TN
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    Zip                  |    38301-3906
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    Country              |    US
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    Telephone            |    731-541-8200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    275 CUMBERLAND BND 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37228-1805
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    Country              |    US
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    Telephone            |    615-726-3340
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    Fax                  |    
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    19611
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    95019745
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    19611
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    License Number State |    TN
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