Provider Demographics
NPI:1912643289
Name:WILLIAMS, TESS LEIGHAN (FNP)
Entity Type:Individual
Prefix:
First Name:TESS
Middle Name:LEIGHAN
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 1:6007 NE LIBERTY LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-8639
Mailing Address - Country:US
Mailing Address - Phone:615-483-1433
Mailing Address - Fax:
Practice Address - Street 1:1400 N MOUNT JULIET RD STE 104
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-1508
Practice Address - Country:US
Practice Address - Phone:731-300-4847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily