MEDICARE: ELLEN KATHERINE WILLIAMS MSN, AGACNP

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	25018	TN

General Provider Information

NPI Number	:	1134695927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN KATHERINE WILLIAMS MSN, AGACNP

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1161 21ST AVE S RM D-5203
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0011
Country	:	US
Telephone Number	:	615-343-4612
Fax Number	:

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

Provider Enumeration Date	:	10/18/2018
Last Update Date	:	03/17/2022

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