Williams, Luella A

Williams, Luella A is an individual health care provider with primary practice located at 15024 Martin Luther King Jr Blvd , Gulfport MS 39501-8306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Williams, Luella A can be contacted via phone (228) 864-0003.

Contact Information

Primary practice address
15024 Martin Luther King Jr Blvd Gulfport MS 39501-8306
Phone: (228) 864-0003
Fax: (228) 864-0273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R628301 Mississippi

Profile Details

NPI number 1144297755
LBN Legal business name Williams, Luella A
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Nov 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144297755 NPPES
Mississippi MEDICAID 00114438

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