Provider Demographics
NPI:1770879074
Name:WILLIAMS, TIANA (DNP, FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:TIANA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DNP, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6352
Mailing Address - Country:US
Mailing Address - Phone:318-598-5040
Mailing Address - Fax:318-515-0011
Practice Address - Street 1:700 N 7TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6352
Practice Address - Country:US
Practice Address - Phone:318-598-5040
Practice Address - Fax:318-515-0011
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05552363LP0808X
LARN094823-AP05552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily