Provider Demographics
NPI:1548791510
Name:WILLIAMS, MONICA SUZANNE (APRN)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:SUZANNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8914-B FOURCHE DAM PIKE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-9442
Mailing Address - Country:US
Mailing Address - Phone:501-912-7785
Mailing Address - Fax:
Practice Address - Street 1:8914 B FOURCHE DAM PIKE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206
Practice Address - Country:US
Practice Address - Phone:501-912-0854
Practice Address - Fax:501-490-0935
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005097363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily