Doctor Name: | CELESTE SARENE WILLIAMS |
NPI Number: | 1780980847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | A003510 |
Business Practice Address: | 805 W Centerton Blvd Centerton, AR - 727199705 |
Business Phone Number: | 4797951301 |
Business Fax Number: | 4797951304 |
Mailing Address: | 1225e Centerton Blvd, CENTERTON |
State: | AR |
Postal Code: | 72719 |
Phone Number: | 4797951301 |
Fax Number: | 4797951304 |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 09/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | A003510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |