Provider Demographics
NPI:1801263140
Name:WILLIAMS, ALLIE M (RN, MSN, CFNP)
Entity type:Individual
Prefix:
First Name:ALLIE
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN, MSN, CFNP
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Mailing Address - Street 1:2719 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-3131
Mailing Address - Country:US
Mailing Address - Phone:417-782-5522
Mailing Address - Fax:417-782-5866
Practice Address - Street 1:2719 E 32ND ST
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3131
Practice Address - Country:US
Practice Address - Phone:417-782-5522
Practice Address - Fax:417-782-5866
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2022-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2015029402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily