Provider Demographics
NPI:1023313541
Name:KARDEEN WILLIAMS, SHELIA M (FNP)
Entity type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:M
Last Name:KARDEEN WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10055 FORD AVE
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-3972
Mailing Address - Country:US
Mailing Address - Phone:912-756-3075
Mailing Address - Fax:912-756-5291
Practice Address - Street 1:10055 FORD AVE
Practice Address - Street 2:SUITE 4A
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3972
Practice Address - Country:US
Practice Address - Phone:912-756-3075
Practice Address - Fax:912-756-5291
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN140903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily