Provider Demographics
NPI:1013904002
Name:WILLIAMS, SUZANNE (APRN)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
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 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2200 CHILDREN'S WAY 5230 DOCTOR'S OFFICE TOWER
Practice Address - Street 2:MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT DEP
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9119
Practice Address - Country:US
Practice Address - Phone:615-322-7447
Practice Address - Fax:615-322-2210
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3268662363L00000X
TNAPN0000015491363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300675100Medicaid
FLE3205ZMedicare PIN