Provider Demographics
NPI:1821333287
Name:WILLIAMS, TONI JEAN (LPN)
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:JEAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 W NORTH BEND RD
Mailing Address - Street 2:APT 702
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2200
Mailing Address - Country:US
Mailing Address - Phone:513-264-5418
Mailing Address - Fax:
Practice Address - Street 1:951 W NORTH BEND RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2200
Practice Address - Country:US
Practice Address - Phone:513-264-5418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN106953164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse