Provider Demographics
NPI:1386217933
Name:WILLIAMS, VALARIE LYNN (FNP)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:VALARIE
Other - Middle Name:LYNN
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MORRIS
Mailing Address - Street 1:2505 SERENITY WAY
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-1561
Mailing Address - Country:US
Mailing Address - Phone:615-319-4534
Mailing Address - Fax:
Practice Address - Street 1:1005 DR. D.B. TODD JR. BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3720
Practice Address - Country:US
Practice Address - Phone:615-668-6352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2023-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30139363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily