Provider Demographics
NPI:1083138226
Name:WILLIAMS, ALVIN GENE (FNP)
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:GENE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29037 MIKE THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:ANGIE
Mailing Address - State:LA
Mailing Address - Zip Code:70426-1835
Mailing Address - Country:US
Mailing Address - Phone:985-516-8900
Mailing Address - Fax:
Practice Address - Street 1:3223 8TH ST STE 300
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-2015
Practice Address - Country:US
Practice Address - Phone:504-833-7770
Practice Address - Fax:504-833-7796
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902063363LF0000X
LAAP09479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily