Provider Demographics
NPI:1609922327
Name:WILLIAMS, SHEILA
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 N HIGH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3876
Mailing Address - Country:US
Mailing Address - Phone:423-587-0860
Mailing Address - Fax:423-289-1267
Practice Address - Street 1:705 N HIGH ST
Practice Address - Street 2:SUITE A
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3876
Practice Address - Country:US
Practice Address - Phone:423-587-0860
Practice Address - Fax:423-289-1267
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12568363LA2200X
TNRN0000116000163WG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology