Provider Demographics
NPI:1508246182
Name:WILLIAMS, KASHEIKA NACOLE (FNP)
Entity Type:Individual
Prefix:
First Name:KASHEIKA
Middle Name:NACOLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HURON ST
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-8702
Mailing Address - Country:US
Mailing Address - Phone:866-671-4474
Mailing Address - Fax:855-592-2740
Practice Address - Street 1:10 HURON ST
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-8702
Practice Address - Country:US
Practice Address - Phone:855-592-2740
Practice Address - Fax:866-671-4474
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN223654363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily