Provider Demographics
NPI:1396072450
Name:WILLIAMS, DEBORAH YVONNE (RN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:YVONNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:WILKEY
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 440
Mailing Address - Street 2:
Mailing Address - City:EVENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37332-0440
Mailing Address - Country:US
Mailing Address - Phone:423-775-7819
Mailing Address - Fax:423-775-8078
Practice Address - Street 1:344 EAGLE LANE
Practice Address - Street 2:
Practice Address - City:EVENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37332
Practice Address - Country:US
Practice Address - Phone:423-775-7819
Practice Address - Fax:423-775-8078
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000129762163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health