Provider Demographics
NPI:1225542723
Name:WILLIAMS, ELIZABETH JANINE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JANINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 HALLE PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-7085
Mailing Address - Country:US
Mailing Address - Phone:901-910-3246
Mailing Address - Fax:901-316-5427
Practice Address - Street 1:526 HALLE PARK DR
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-7085
Practice Address - Country:US
Practice Address - Phone:901-910-3246
Practice Address - Fax:901-316-5427
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902417363LF0000X
TN23471363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily