Doctor Name: | JANICE WILLIAMS |
NPI Number: | 1013278167 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | A03711 |
Business Practice Address: | 1000 Se 13th Ct Bentonville, AR - 727127857 |
Business Phone Number: | 4792739056 |
Business Fax Number: | 4792736937 |
Mailing Address: | 1000 Se 13th Ct, BENTONVILLE |
State: | AR |
Postal Code: | 727127857 |
Phone Number: | 4792739056 |
Fax Number: | 4792736937 |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 09/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03711 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |