Williams, Tawny Renee
Williams, Tawny Renee is an sole proprietor health care provider with primary practice located at 409 Briarwood Dr Ste 302 , Jackson MS 39206-3033. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Williams, Tawny Renee can be contacted via phone (769) 572-4389.Contact Information
Primary practice address
409 Briarwood Dr Ste 302
Jackson MS 39206-3033
Phone: (769) 572-4389
Fax: (769) 572-4391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Mississippi |
Profile Details
| NPI number | 1679111389 |
|---|---|
| LBN Legal business name | Williams, Tawny Renee |
| Credentials | CSSMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2019 |
| Last updated | Dec 12th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679111389 | NPPES |
| Mississippi | MEDICAID | 0000 |
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