Provider Demographics
NPI:1356118970
Name:WILLIAMS, ABBY (MSN, CRNP, FNP-C)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN, CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 US HWY 431 WOMEN'S CENTER
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957
Mailing Address - Country:US
Mailing Address - Phone:256-840-4530
Mailing Address - Fax:
Practice Address - Street 1:2505 US HIGHWAY 431, WOMEN'S CENTER
Practice Address - Street 2:SUITE A
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957
Practice Address - Country:US
Practice Address - Phone:256-840-4530
Practice Address - Fax:256-840-4537
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-187608163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse