Doctor Name: | CHRYSTAL WILLIAMS-DAVIS |
NPI Number: | 1700274016 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 19413 |
Business Practice Address: | 12 E Brunswick St Byhalia, MS - 38611 |
Business Phone Number: | 9017285858 |
Business Fax Number: | 9015316312 |
Mailing Address: | P.o. Box 698, BYHALIA |
State: | MS |
Postal Code: | 38611 |
Phone Number: | 6628382163 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2015 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19413 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |