Provider Demographics
NPI:1255142113
Name:WILLIAMSON, DEANNA (FNP-C)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8604 OLD STAGE RD
Mailing Address - Street 2:
Mailing Address - City:LIMESTONE
Mailing Address - State:TN
Mailing Address - Zip Code:37681-5306
Mailing Address - Country:US
Mailing Address - Phone:828-788-0083
Mailing Address - Fax:
Practice Address - Street 1:8604 OLD STAGE RD
Practice Address - Street 2:
Practice Address - City:LIMESTONE
Practice Address - State:TN
Practice Address - Zip Code:37681-5306
Practice Address - Country:US
Practice Address - Phone:828-788-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF11230172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily