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NPI Code Detail

MEDICARE: KATIE SAMANTHA WILLIAMS FNP-C

MEDICARE: KATIE SAMANTHA WILLIAMS FNP-C
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
1363LP2300XPrimary Care Nurse Practitioner180113TN

General Provider Information

NPI Number : 1265884050
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE SAMANTHA WILLIAMS FNP-C
Provider Business Mailing Address
First Line : 333 COMMERCE ST STE 700
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-1835
Country : US
Telephone Number : 615-346-8468
Fax Number :
Provider Business Practice Location Address
First Line : 333 COMMERCE ST STE 700
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-1835
Country : US
Telephone Number : 615-346-8468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2016
Last Update Date : 04/09/2017

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Directions to “ KATIE SAMANTHA WILLIAMS FNP-C” Practice Location

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