Provider Demographics
NPI:1467418095
Name:WILLIAMS, KARI ANNE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:ANNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:ANNE
Other - Last Name:GRAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:890 BELL RD SE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-9049
Mailing Address - Country:US
Mailing Address - Phone:901-482-8193
Mailing Address - Fax:
Practice Address - Street 1:2415 CHAMBLISS AVE NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3882
Practice Address - Country:US
Practice Address - Phone:423-559-2800
Practice Address - Fax:423-559-0532
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN126960363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P92542Medicare UPIN
TN3349292Medicare ID - Type Unspecified