Provider Demographics
NPI:1164927521
Name:WILLIAMS, DANIELLE MADISON (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MADISON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 91899
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36691-1899
Mailing Address - Country:US
Mailing Address - Phone:251-342-8900
Mailing Address - Fax:251-342-2333
Practice Address - Street 1:32 TACON ST STE A
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3138
Practice Address - Country:US
Practice Address - Phone:251-706-8170
Practice Address - Fax:251-706-8098
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-137272363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics