Provider Demographics
NPI:1467115501
Name:WILLIAMS, JUDITH ABIGAIL (FNP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ABIGAIL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:ABIGAIL
Other - Last Name:SHELDON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1111 HIGHWAY 6 STE 40
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4917
Mailing Address - Country:US
Mailing Address - Phone:281-340-9355
Mailing Address - Fax:
Practice Address - Street 1:1111 HIGHWAY 6 STE 40
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4917
Practice Address - Country:US
Practice Address - Phone:281-340-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-15
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily