| Doctor Name: | TERRICA TERRELL WILLIAMS |
| NPI Number: | 1043633183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP07608 |
| Business Practice Address: | 400 Russell Ave C/o Msgt. Cyres Box 27 Nasjrb New Orleans, LA - 701435077 |
| Business Phone Number: | 5046285637 |
| Business Fax Number: | |
| Mailing Address: | 400 Russell Ave, Box 27 Nasjrb NEW ORLEANS |
| State: | LA |
| Postal Code: | 701435077 |
| Phone Number: | 2256205223 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2014 |
| NPI Last Update Date: | 01/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | AP07608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |