Provider Demographics
NPI:1346550126
Name:WILLIAMS, SHELIA D (FNP)
Entity Type:Individual
Prefix:MS
First Name:SHELIA
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:901 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1947
Mailing Address - Country:US
Mailing Address - Phone:903-596-3588
Mailing Address - Fax:903-594-2038
Practice Address - Street 1:5875 S ST HWY 37
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:TX
Practice Address - Zip Code:75773-7910
Practice Address - Country:US
Practice Address - Phone:903-569-6124
Practice Address - Fax:903-569-2467
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX527259363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner