Provider Demographics
NPI:1548795941
Name:WENDY WILLIAMS FNP LLC
Entity Type:Organization
Organization Name:WENDY WILLIAMS FNP LLC
Other - Org Name:HOPE FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, FNP-C
Authorized Official - Phone:812-385-3589
Mailing Address - Street 1:428 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-2004
Mailing Address - Country:US
Mailing Address - Phone:812-385-3589
Mailing Address - Fax:812-385-3616
Practice Address - Street 1:428 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-2004
Practice Address - Country:US
Practice Address - Phone:812-385-3589
Practice Address - Fax:812-385-3616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty