| Doctor Name: | MRS. TRACY S WILLIAMS |
| NPI Number: | 1851334296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | A01357 |
| Business Practice Address: | Junction Of Hwy 270 And 56 Wewoka, OK - 74884 |
| Business Phone Number: | 4052576282 |
| Business Fax Number: | 4052572051 |
| Mailing Address: | Po Box 1475, WEWOKA |
| State: | OK |
| Postal Code: | 74884 |
| Phone Number: | 4052576282 |
| Fax Number: | 4052572051 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |