Provider Demographics
NPI:1326282799
Name:WILLIAMS, SARAH MARIE (DNP, APRN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:11215 HERMITAGE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3863
Mailing Address - Country:US
Mailing Address - Phone:501-219-1929
Mailing Address - Fax:501-219-0021
Practice Address - Street 1:11215 HERMITAGE RD STE 103
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3863
Practice Address - Country:US
Practice Address - Phone:501-219-1929
Practice Address - Fax:501-219-0021
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03231 ANP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR269027762Medicaid
AR176962758Medicaid