Provider Demographics
NPI:1285672451
Name:WILLIAMS, PATRICIA K (FNP ARNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:K
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 N DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-8881
Mailing Address - Country:US
Mailing Address - Phone:270-737-1215
Mailing Address - Fax:270-737-1220
Practice Address - Street 1:5900 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-8881
Practice Address - Country:US
Practice Address - Phone:270-737-1215
Practice Address - Fax:270-737-1220
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2666P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7802666300Medicaid
KY000000047369OtherANTHEM ID #
KY0585204Medicare ID - Type Unspecified
KY000000047369OtherANTHEM ID #