Provider Demographics
NPI:1407249899
Name:WILLIAMS, SHAWNNA B (CRNP)
Entity Type:Individual
Prefix:
First Name:SHAWNNA
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 DANVILLE RD SW
Mailing Address - Street 2:SUITE G
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4603
Mailing Address - Country:US
Mailing Address - Phone:256-301-9994
Mailing Address - Fax:256-301-5545
Practice Address - Street 1:2208 DANVILLE RD SW
Practice Address - Street 2:SUITE G
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4603
Practice Address - Country:US
Practice Address - Phone:256-301-9994
Practice Address - Fax:256-301-5545
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-109219363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care