Williams, Mary Smith

Williams, Mary Smith is an individual health care provider with primary practice located at 1253 Paris Rd , Mayfield KY 42066-4989. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Williams, Mary Smith can be contacted via phone (270) 247-2455.

Contact Information

Primary practice address
1253 Paris Rd Mayfield KY 42066-4989
Phone: (270) 247-2455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95546 Tennessee
Nursing Service Providers / General Practice 163WG0000X A167618 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17932 Tennessee

Profile Details

NPI number 1356573463
LBN Legal business name Williams, Mary Smith
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2009
Last updated May 13th, 2022 - about 2 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 1356573463 NPPES
Tennessee Other 1356573463 SOLE PROPRIETOR

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