Provider Demographics
NPI:1164504734
Name:WILLIAMS, SHERRY DENISE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:DENISE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:SHERRY
Other - Middle Name:DENISE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:12216 LANGSHAW DR
Mailing Address - Street 2:
Mailing Address - City:THONOTOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:33592-2732
Mailing Address - Country:US
Mailing Address - Phone:813-972-2000
Mailing Address - Fax:812-910-4022
Practice Address - Street 1:12216 LANGSHAW DR
Practice Address - Street 2:
Practice Address - City:THONOTOSASSA
Practice Address - State:FL
Practice Address - Zip Code:33592-2732
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:812-910-4022
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2164002363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health