MEDICARE: SONYA RENEE MCWILLIAMS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APN7945	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500025628	OTHER	TN	RR MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073558334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA RENEE MCWILLIAMS FNP

Provider Business Mailing Address
First Line	:	1934 ALCOA HWY
Second Line	:	BLDG D SUITE 285
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1524
Country	:	US
Telephone Number	:	865-305-9620
Fax Number	:

Provider Business Practice Location Address
First Line	:	1934 ALCOA HWY
Second Line	:	BLDG D SUITE 285
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1524
Country	:	US
Telephone Number	:	865-305-9620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	08/22/2016

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