MEDICARE: KRISTI G WILLIAMS APRN, 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
1	363LF0000X	Family Nurse Practitioner	AP06854	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AP06854	OTHER	LA	STATE LICENSE

General Provider Information

NPI Number	:	1740544352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI G WILLIAMS APRN, FNP-C

Provider Business Mailing Address
First Line	:	3217 MABEL ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-4022
Country	:	US
Telephone Number	:	318-631-9121
Fax Number	:	318-631-9126

Provider Business Practice Location Address
First Line	:	2900 E TEXAS ST STE 100
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-3275
Country	:	US
Telephone Number	:	318-606-6737
Fax Number	:

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

Provider Enumeration Date	:	06/28/2012
Last Update Date	:	04/14/2026

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