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General NPI Number Information
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NPI Number | 1922898493
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Entity Type | Individual
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Provider Name | COURTNEY LYNN WILLIAMS ACNPC-AG
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 4320 CURRAN RD
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City | BUCHANAN
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State | MI
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Zip | 49107-8226
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Country | US
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Telephone | 269-362-4847
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Fax |
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Provider Business Mailing Address
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Address Line | 4320 CURRAN RD
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City | BUCHANAN
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State | MI
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Zip | 49107-8226
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Country | US
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Telephone | 269-362-4847
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704323627
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License Number State | MI
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