Provider Demographics
NPI:1689626087
Name:WILLIAMS, VALERIE JEANETTE (CRNA, APRN)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:JEANETTE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNA, APRN
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:J
Other - Last Name:MCDANIEL-WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA, APRN
Mailing Address - Street 1:65 GERMANTOWN CT STE 300
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4258
Mailing Address - Country:US
Mailing Address - Phone:901-737-4665
Mailing Address - Fax:901-328-1355
Practice Address - Street 1:8000 WOLF RIVER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1755
Practice Address - Country:US
Practice Address - Phone:901-747-3630
Practice Address - Fax:901-747-4149
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN77065367500000X
TN9473367500000X
TNAPN0000009473367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN430079252OtherRAILROAD MEDICARE
TN3629660Medicaid
TN4011480OtherBLUE CROSS
AR146831701Medicaid
AR98910OtherBLUE CROSS
MS0126170Medicaid
AR146831701Medicaid