Provider Demographics
NPI:1336854223
Name:WILLIAMS, ASHLEY NICOLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:NICOLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 FARM ROAD 38 S
Mailing Address - Street 2:
Mailing Address - City:ROXTON
Mailing Address - State:TX
Mailing Address - Zip Code:75477-4204
Mailing Address - Country:US
Mailing Address - Phone:903-517-6438
Mailing Address - Fax:
Practice Address - Street 1:707 LAMAR AVE STE D
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-4460
Practice Address - Country:US
Practice Address - Phone:430-900-1923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1107029363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily