Provider Demographics
NPI:1841060159
Name:WILLIAMS, JULIE ANN (FNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 FERNBANK RD
Mailing Address - Street 2:
Mailing Address - City:MILLPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35576-3368
Mailing Address - Country:US
Mailing Address - Phone:662-574-0651
Mailing Address - Fax:
Practice Address - Street 1:13209 HIGHWAY 96
Practice Address - Street 2:
Practice Address - City:MILLPORT
Practice Address - State:AL
Practice Address - Zip Code:35576-2456
Practice Address - Country:US
Practice Address - Phone:205-662-8801
Practice Address - Fax:205-662-8802
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-169055207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine