Provider Demographics
NPI:1811602238
Name:WILLIAMS, DONNA RENEE (RN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:RENEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 LEOPPER RD
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-3937
Mailing Address - Country:US
Mailing Address - Phone:865-382-6472
Mailing Address - Fax:
Practice Address - Street 1:241 LEOPPER RD
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-3937
Practice Address - Country:US
Practice Address - Phone:865-382-6472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000155648163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health